Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Irena Hovhannisyan

Individual provider Family Nurse Practitioner · NPI 1699520304

Irena Hovhannisyan is a Nurse Practitioner in Staten Island, New York. Qualified in 2024, 2 years ago. Practices with Urban Family Practice PC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

3974 Amboy Rd Ste 302
Staten Island, NY 10308-2414
Phone: (718) 967-1071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F353707 (NY)

Record details

NPI number1699520304
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2024
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Urban Family Practice Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Staten Island