Active NPI
Mackenzie Cherniuk, PA
- Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 032998
- Practice address
- 750 East Adams Street
Syracuse, NY 13210 - Phone
- (315) 464-5910
- Fax
- (315) 464-1937
- NPI assigned
- Jun 23, 2022
- Last updated
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 032998 | NY | Primary |
| Physician Assistant | 363A00000X | PA17197 | TX |
Addresses
Primary practice location
750 East Adams Street
Syracuse, NY 13210
Mailing address
251 Salina Meadows Parkway
Suite 100
Syracuse, NY 13212
Phone (315) 464-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 464-3265
550 Harrison St
Syracuse, NY 13202-3188
Phone (315) 464-8093
713 Harrison St
BLDG 3
Syracuse, NY 13210-2305
Phone (315) 464-3265
719 Harrison St
Syracuse, NY 13210-2305
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8093
750 E Adams St
Cab Room 320
Syracuse, NY 13210-1834
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032998 | NY | MD | Physician Assistant |
| PA17197 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Physician Assistant | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Current | Accepting new patients | |
| Psychiatry Faculty Practice, Inc. | Current | Accepting new patients |
Locations
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
Interoperability endpoints
- mcherniuk133026@direct.upstate.edu
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
-
dba Upstate University Hospital
- General Acute Care Hospital
- Syracuse, NY
- NPI 1184974529
Physician Assistant
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
-
dba Upstate Outpatient Pharmacy at Nappi
- Pharmacy
- Syracuse, NY
- NPI 1306567474
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1205567898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 SALINA MEADOWS PARKWAY",
"address_2": "SUITE 100",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13212",
"telephone_number": "315-464-2000",
"fax_number": "315-464-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 EAST ADAMS STREET",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-464-5910",
"fax_number": "315-464-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNIUK",
"first_name": "MACKENZIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2025-09-02",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "032998",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA17197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.