Active NPIIndividual provider

Dr. Irene Goncharov, DNP

Nurse Anesthetist, Certified Registered in Newark, New Jersey

NPI Number1215523782
Practice location
150 Bergen St # E245, Newark, NJ 07103-2496
Fax
—
Last updated
January 14, 2021

Irene Goncharov is a Nurse Anesthetist, Certified Registered based in Newark, NJ. Irene Goncharov practices in Newark, NJ and has the professional credentials of DNP. The NPI Number for Irene Goncharov is 1215523782 and holds a License No. 26NJ01087000 (NJ). The current practice location address for Irene Goncharov is 150 Bergen St # E245, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-7867.

Provider Profile Details

NPI Number
1215523782
Provider Name
Irene Goncharov
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
150 Bergen St # E245, Newark, NJ 07103-2496
Phone Number
973-972-7867
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
December 17, 2020
Last Update Date
January 14, 2021
Certification Date
January 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St # E245
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-972-7867
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
150 Bergen St # E245
Newark, NJ 07103-2496
City
Newark
State
NJ
Zip
07103-2496
Phone Number
973-972-7867

License Information

License Number
26NJ01087000
License State
NJ
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Irene Goncharov, DNP?

The NPI number of Dr. Irene Goncharov, DNP is 1215523782. It was assigned on December 17, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Irene Goncharov, DNP?

Dr. Irene Goncharov, DNP is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NJ01087000.

Where does Dr. Irene Goncharov, DNP practice?

The practice location is 150 Bergen St # E245, Newark, NJ 07103-2496. The office can be reached at 973-972-7867 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215523782 directly on the NPPES registry website.

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