Individual provider Active NPI

William J Chernack, MD

  • Allergy Physician
  • Morristown, NJ
National Provider Identifier
1013941012
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
25MA03168500 Issued in NJ
Practice address
28 Franklin PL
Morristown, NJ 07960-5305
Phone
(973) 538-7271
Fax
(973) 538-7491
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 25MA03168500 NJ Primary

Addresses

Primary practice location

28 Franklin PL
Morristown, NJ 07960-5305

Mailing address

28 Franklin PL
Morristown, NJ 07960-5305
Phone (973) 538-7271

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000039 NJ Practitioner - Allergy/Immunology 6507933595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03168500NJMDAllergy Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1013941012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FRANKLIN PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605305",
            "telephone_number": "973-538-7271",
            "fax_number": "973-538-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 FRANKLIN PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605305",
            "telephone_number": "973-538-7271",
            "fax_number": "973-538-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNACK",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MA03168500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.