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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Irina Gavdanovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Anchipolovsky PA
4.1 mi
Endocrinology, Diabetes & Metabolism
119 GORDON CT
Oradell, NJ 07649
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1396922886 (201) 967-1928

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Irina Gavdanovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irina Gavdanovich reassigns Medicare benefits to Dr. Anchipolovsky PA (Oradell, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Irina Gavdanovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.