IRENA HOVHANNISYAN
NPI 1699520304
Nurse Practitioner - Family in Staten Island, NY

Active since April 17, 2024PECOS EnrolledAccepts Medicare Assignment
3974 AMBOY RD STE 302, STATEN ISLAND, NY 10308(718) 967-1071 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Irena Hovhannisyan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRENA HOVHANNISYAN (NPI 1699520304) is an individual family provider in Staten Island, New York, licensed in New York (F353707) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1699520304
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIRENA HOVHANNISYAN
Location Address3974 AMBOY RD STE 302Staten Island, NY 10308-2414
Mailing Address52 Eagan AveStaten Island, NY 10312-4104 · (646) 406-9286
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
NPI 1699520304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F353707
3974 AMBOY RD STE 302, Staten Island, NY 10308

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Irena Hovhannisyan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507356607
PECOS Enrollment IDI20251107002658
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3974 AMBOY RD STE 302
STATEN ISLAND, NY 10308
Family Medicine
3974 AMBOY RD STE 302
STATEN ISLAND, NY 10308
Clinic/Center (Primary Care)
3974 AMBOY RD STE 302
STATEN ISLAND, NY 10308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irena Hovhannisyan's NPI number?

The NPI number for Irena Hovhannisyan is 1699520304. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Irena Hovhannisyan located?

Irena Hovhannisyan practices at 3974 Amboy Rd Ste 302, Staten Island, NY 10308. The listed phone number is (718) 967-1071.

What is Irena Hovhannisyan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Irena Hovhannisyan enrolled in Medicare?

Yes. Irena Hovhannisyan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Irena Hovhannisyan was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.