Individual provider Active NPI

Julie Zavadenko Apn LLC

  • Adult Health Nurse Practitioner
  • River Vale, NJ
National Provider Identifier
1013306786
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00534000 Issued in NJ
Practice address
678 Alexander CT
River Vale, NJ 07675-6403
Phone
(201) 290-7957
NPI assigned
Jan 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00534000 NJ Primary

Addresses

Primary practice location

678 Alexander CT
River Vale, NJ 07675-6403

Mailing address

678 Alexander CT
River Vale, NJ 07675-6403
Phone (201) 290-7957

Other practice location 1

741 Teaneck Rd
Teaneck, NJ 07666-4243
Phone (201) 833-2888

Other names 1

  • Julia Zavadenco Apn LLC Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128002294 NJ Practitioner - Nurse Practitioner 8628371424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

640 Winters Ave
Paramus, NJ 07652-3904
Phone (201) 290-7957

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Dec 1, 2016 Accepting new patients
Heritage Surgical Group, LLC CurrentSince Dec 7, 2015 Accepting new patients
Julie Zavadenko Anp LLC Adult Health CurrentSince Apr 21, 2018 Accepting new patients

Locations

385 S Maple Ave
Ste 202
Glen Rock, NJ 07452

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

640 Winters Ave
Paramus, NJ 07652
Phone (201) 290-7957

80 E Route 4
Ste 490
Paramus, NJ 07652
Phone (201) 251-3480

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

741 Teaneck Rd
Ste B
Teaneck, NJ 07666
Phone (201) 833-2888

261 Old Hook Rd
Westwood, NJ 07675
Phone (201) 263-0101

Interoperability endpoints

  • Direct secure messaging: julie.zavadenko.1@5622.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1013306786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 ALEXANDER CT",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756403",
            "telephone_number": "201-290-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 ALEXANDER CT",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756403",
            "telephone_number": "201-290-7957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Teaneck Rd",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664243",
            "country_code": "US",
            "telephone_number": "201-833-2888",
            "fax_number": "201-833-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVADENKO APN LLC",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00534000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "ZAVADENCO APN LLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in River Vale, NJ

Sources for this page

Verify at the official NPI Registry.