| Dr Irene Goncharov, DNP | |
|
150 Bergen St # E245, Newark, NJ 07103-2496 | |
| (973) 972-7867 | |
| Not Available |
| Full Name | Dr Irene Goncharov |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 150 Bergen St # E245, Newark, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215523782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ01087000 (New Jersey) | Primary |
| Entity Name | University Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1609045277 PECOS PAC ID: 5294636874 Enrollment ID: O20080506000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Irene Goncharov, DNP 150 Bergen St # E245, Newark, NJ 07103-2496 Ph: (973) 972-7867 | Dr Irene Goncharov, DNP 150 Bergen St # E245, Newark, NJ 07103-2496 Ph: (973) 972-7867 |
Emma Debenedetto, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-2513 | |
Dr. Brian Michael Jernick Jr., APN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 800-843-2384 | |
Joanna Jacinto, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Justin Gewirtz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Po Box 24002, Newark, NJ 07101 Phone: 973-273-4626 | |
Mr. John Arvin Sebastian, DNP, APN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Nicholas Germinario, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 800-843-2384 |