NPIMap

Individual provider Active NPI

Jaime Michael Cernansky, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Allentown, PA
National Provider Identifier
1194987040
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS035911 Issued in PA
Practice address
1259 S Cedar Crest Blvd
Suite 302
Allentown, PA 18103-6372
Phone
(610) 437-1727
Fax
(610) 437-4715
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DA031627 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS035911 PA Primary

Addresses

Primary practice location

1259 S Cedar Crest Blvd
Suite 302
Allentown, PA 18103-6372

Mailing address

1259 S Cedar Crest Blvd
Suite 302
Allentown, PA 18103-6372
Phone (610) 437-1727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000119 PA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 2466509526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
University of Pittsburgh School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Oral Surgery PCGroup PAC ID 8921912635, 4 clinicians

Practice addresses (Care Compare)

1321 N New St
Bethlehem, PA 18018-2400
Phone (610) 861-0648

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA031627PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oral Surgery PC Oral and Maxillofacial Surgery CurrentSince Apr 1, 2009 Accepting new patients

Locations

1259 S Cedar Crest Blvd
Ste 302
Allentown, PA 18103
Phone (610) 437-1727

1321 N New St
Bethlehem, PA 18018
Phone (610) 461-0648

5666 Interchange Rd
Lehighton, PA 18235
Phone (484) 629-8300

1402 W Broad St
Ste 101
Quakertown, PA 18951
Phone (215) 536-8133

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 and National Provider Directory roles.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1194987040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD",
            "address_2": "SUITE 302",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036372",
            "telephone_number": "610-437-1727",
            "fax_number": "610-437-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD",
            "address_2": "SUITE 302",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036372",
            "telephone_number": "610-437-1727",
            "fax_number": "610-437-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNANSKY",
        "first_name": "JAIME",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "DA031627",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS035911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.