Active NPI
Stephen B. Chernick, DPM
- Podiatrist
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 003399
- Practice address
- 11247 Queens Blvd
Suite 104/105
Forest Hills, NY 11375-7417 - Phone
- (718) 793-3223
- Fax
- (718) 793-0838
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 003399 | NY | Primary |
Addresses
Primary practice location
11247 Queens Blvd
Suite 104/105
Forest Hills, NY 11375-7417
Mailing address
175 Fulton Ave
Ste 210
Hempstead, NY 11550-3702
Phone (718) 793-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00763786 | Medicaid | NY |
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11241 Queens Blvd
Forest Hills, NY 11375-5564
Phone (718) 793-3223
3757 91St St
Jackson Heights, NY 11372-7968
479 Willis Ave
Williston Park, NY 11596-1725
Phone (516) 741-3338
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 183 |
| Removal of nail tissue | 1716 |
| Removal or shaving of skin growth | 1049 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| Country Foot Care Podiatry PLLC | Current | Accepting new patients | |
| Footcare Now Podiatry, PLLC | Current | Accepting new patients | |
| Country Foot Care Podiatry PLLC | Current | Accepting new patients |
Locations
11241 Queens Blvd
Ste Llb
Forest Hills, NY 11375
Phone (718) 261-1759
1436 Broadway
Hewlett, NY 11557
Phone (516) 563-7200
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
3757 91st St
Jackson Hts, NY 11372
Phone (718) 651-6500
155 Mineola Blvd
Ste B
Mineola, NY 11501
Phone (516) 741-3338
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
479 Willis Ave
Williston Pk, NY 11596
Phone (516) 294-8877
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Mineola, NY
- NPI 1831562396
-
- Foot & Ankle Surgery Podiatrist
- Jackson Heights, NY
- NPI 1588217640
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
-
- Foot & Ankle Surgery Podiatrist
- Patchogue, NY
- NPI 1184099442
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1063507960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 FULTON AVE",
"address_2": "STE 210",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503702",
"telephone_number": "718-793-3223",
"fax_number": "718-793-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11247 QUEENS BLVD",
"address_2": "SUITE 104/105",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757417",
"telephone_number": "718-793-3223",
"fax_number": "718-793-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNICK",
"first_name": "STEPHEN",
"middle_name": "B.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "003399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00763786",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.