Organization Active NPI

Jonathan Z. Charney M.D., P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1013210186
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
106790 Issued in NY
Legal business name
JONATHAN Z. CHARNEY M.D., P.C.
Practice address
1111 Park Ave
New York, NY 10128-1234
Phone
(212) 831-2886
Fax
(212) 289-8677
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Jonathan Z Charney, M.D.NPI 1568593457
Title
President
Phone
(212) 831-2886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 106790 NY Primary

Addresses

Primary practice location

1111 Park Ave
New York, NY 10128-1234

Mailing address

1111 Park Ave
New York, NY 10128-1234
Phone (212) 831-2886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110311000331 NY Part B Supplier - Clinic/Group Practice 9133301187 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1013210186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281234",
            "telephone_number": "212-831-2886",
            "fax_number": "212-289-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281234",
            "telephone_number": "212-831-2886",
            "fax_number": "212-289-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN Z. CHARNEY M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "CHARNEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-831-2886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "106790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.