Mark Chernomordik, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

038264 Issued in NY

Practice address

401 Ditmas Ave
Brooklyn, NY 11218-4919

Phone

(718) 972-1644

Fax

(718) 871-6368

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mar Co Dental PC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1801962436
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093898488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WHITMAN DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346934",
            "telephone_number": "718-972-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184919",
            "telephone_number": "718-972-1644",
            "fax_number": "718-871-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNOMORDIK",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayona Chernis, MS/SPED
• Leonid Chernobelsky, M.D.
• Emly S Chernoff, SC
• Goldie Chernoff
• Inna Chernoglaz, P.A.
• Vera Chernomordik, D.M.D.
• Leonid Chernov, M.D.
• Alena Chernova
• Anjela V Chernova, RPA-C
• Kateryna Chernova

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.