Individual provider Active NPI

Jason Michael Chernikoff, LCSW

  • Clinical Social Worker
  • Manhasset, NY
National Provider Identifier
1053686055
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079431 Issued in NY
Practice address
1554 Northern Blvd FL 1
Manhasset, NY 11030-3053
Phone
(516) 472-5860
NPI assigned
Mar 9, 2012
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079431 NY Primary

Addresses

Primary practice location

1554 Northern Blvd FL 1
Manhasset, NY 11030-3053

Mailing address

19531 Keno Ave
Hollis, NY 11423-1205
Phone (718) 913-6104

Other practice location 1

7559 263rd St
Glen Oaks, NY 11004-1150
Phone (718) 470-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120517000005 NY Practitioner - Clinical Social Worker 7719140458 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Center for Psychotherapy IncGroup PAC ID 7113918087, 18 clinicians
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

10326 68TH Rd
Forest Hills, NY 11375-3200
Phone 7182613330221

3333 New Hyde Park Rd
Suite 104
New Hyde Park, NY 11042-1205
Phone (332) 245-3191

Merit-based Incentive Payment System (MIPS)

Final score
87.7 of 100Reported as group
Quality
70.34
Promoting interoperability
89
Improvement activities
40
Cost
76.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Feb 25, 2019 Accepting new patients
Advanced Center for Psychotherapy, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Jamaica Hospital CurrentSince Jun 1, 2025 Accepting new patients
Carmel Psychological Health, PC Clinical CurrentSince Dec 8, 2025 Accepting new patients
Jamaica Hospital CurrentSince Jun 1, 2025 Accepting new patients
Hypnoscope Medical, PC PastSince Dec 13, 2010 Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

7559 263rd St
Glen Oaks, NY 11004
Phone (718) 470-8005

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

1554 Northern Blvd
Fl 1
Manhasset, NY 11030
Phone (516) 472-5860

300 Community Dr
Manhasset, NY 11030

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

3333 New Hyde Park Rd
Ste 104
New Hyde Park, NY 11042
Phone (332) 245-3191

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1053686055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19531 KENO AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231205",
            "telephone_number": "718-913-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 NORTHERN BLVD FL 1",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303053",
            "telephone_number": "516-472-5860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7559 263rd St",
            "address_purpose": "LOCATION",
            "city": "Glen Oaks",
            "state": "NY",
            "postal_code": "110041150",
            "country_code": "US",
            "telephone_number": "718-470-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERNIKOFF",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-09",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.