Individual provider Active NPI

Jay Yefim Cherner

  • Sports Physician Chiropractor
  • Minneapolis, MN
National Provider Identifier
1144498932
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2231 Issued in MN
Practice address
5355 Penn Ave S
Minneapolis, MN 55419-1056
Phone
(612) 922-4649
Fax
(612) 922-8954
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2231 MN Primary

Addresses

Primary practice location

5355 Penn Ave S
Minneapolis, MN 55419-1056

Mailing address

5355 Penn Ave S
Minneapolis, MN 55419-1056
Phone (612) 922-4649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2231MNMDSports Physician Chiropractor

Organizations & group practices 1

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1144498932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 PENN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191056",
            "telephone_number": "612-922-4649",
            "fax_number": "612-922-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 PENN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191056",
            "telephone_number": "612-922-4649",
            "fax_number": "612-922-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNER",
        "first_name": "JAY",
        "middle_name": "YEFIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "2231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.