IRINA GAVDANOVICH FNP
NPI 1780103580
Nurse Practitioner - Family in Hackensack, NJ

Q: What is Irina Gavdanovich's NPI number?

The NPI number for Irina Gavdanovich is 1780103580. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Q: What is Irina Gavdanovich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Irina Gavdanovich was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 12, 2017PECOS Enrolled

170 PROSPECT AVE STE 1, HACKENSACK, NJ 07601(201) 820-3596 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2020, Mar 17, 2020, Dec 18, 2019 and 2 more (5 updates tracked since 2017).

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About Irina Gavdanovich Fnp NPPES

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

IRINA GAVDANOVICH FNP (NPI 1780103580) is an individual family provider in Hackensack, New Jersey, licensed in New Jersey (26NJ00959500) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780103580

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIRINA GAVDANOVICHCredential: FNP

Location Address170 PROSPECT AVE STE 1Hackensack, NJ 07601-1834

Mailing Address170 Prospect Ave Ste 1Hackensack, NJ 07601-1834 · (201) 820-3596

Phone(201) 820-3596

Sole ProprietorNo

Enumeration DateSeptember 12, 2017

Last NPPES UpdateSeptember 29, 20205 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1780103580 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 NJ · 26NJ00959500

170 PROSPECT AVE STE 1, Hackensack, NJ 07601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irina Gavdanovich Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 07601 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier32 claims32 services$185.31 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SUSAN H LEE APN

Nurse Practitioner (Family)

170 PROSPECT AVE STE 1
HACKENSACK, NJ 07601

Bergen County (551) 309-3555

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 Irina Gavdanovich's NPI number?

The NPI number for Irina Gavdanovich is 1780103580. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Irina Gavdanovich located?

Irina Gavdanovich practices at 170 Prospect Ave Ste 1, Hackensack, NJ 07601. The listed phone number is (201) 820-3596.

What is Irina Gavdanovich's specialty?

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

Is Irina Gavdanovich enrolled in Medicare?

Yes. Irina Gavdanovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Irina Gavdanovich was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.