Organization Active NPI

Julie Zavadenko Anp LLC

  • Adult Health Nurse Practitioner
  • Hillsdale, NJ
National Provider Identifier
1063907749
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00534000 Issued in NJ
Legal business name
JULIE ZAVADENKO ANP LLC
Practice address
134 Legion PL
Hillsdale, NJ 07642-1502
Phone
(201) 290-7957
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Julie Zavadenko
Title
Ceo
Phone
(201) 290-7957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 26NJ00534000 NJ Primary

Addresses

Primary practice location

134 Legion PL
Hillsdale, NJ 07642-1502

Mailing address

134 Legion PL
Hillsdale, NJ 07642-1502
Phone (201) 290-7957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180703002605 NJ Part B Supplier - Clinic/Group Practice 4880940931 Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1063907749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 LEGION PL",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421502",
            "telephone_number": "201-290-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 LEGION PL",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421502",
            "telephone_number": "201-290-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE ZAVADENKO ANP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "ZAVADENKO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-290-7957"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00534000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.