Active NPI
Anton Chertkovsky, PA
- Physician Assistant
- Central Square, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021914
- Practice address
- 3045 East Ave
Central Square, NY 13036 - Phone
- (315) 668-5212
- NPI assigned
- Mar 7, 2018
- Last updated
- May 5, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 021914 | NY | Primary |
Addresses
Primary practice location
3045 East Ave
Central Square, NY 13036
Mailing address
3045 East Ave
Central Square, NY 13036-2611
Phone (315) 668-5212
Other practice location 1
1302 E Main St
Endicott, NY 13760-5430
Phone (607) 754-7171
Other practice location 2
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-0025
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Anton.Chertkovsky@direct.lourdes.com | Direct |
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Health Services Hospitals, Inc.
Practice addresses (Care Compare)
110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511
17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142
3045 E Ave
Central Square, NY 13036-2611
Phone (315) 668-5240
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-7365
Hospital & facility affiliations
- Auburn Community Hospital
- University Hospital S U N Y Health Science Center
- St Joseph's Hospital Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.63 of 100
- Quality
- 64.83
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.68 of 100
- Quality
- 48.88
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 71.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021914 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| Carthage Area Hospital, Inc. | Current | Accepting new patients | |
| Port City Emergency Physicians LLP | Physician Assistant | Current | Accepting new patients |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients | |
| Port City Emergency Physicians LLP | Physician Assistant | Current | Accepting new patients |
| Auburn Community Hospital | Past | Accepting new patients |
Locations
303 Grant Ave
Auburn, NY 13021
Phone (315) 253-1805
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202
100 Horwood Pl
Ogdensburg, NY 13669
Phone (315) 394-0426
214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660
214 King St
Ste A
Ogdensburg, NY 13669
Phone (315) 713-5660
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
793 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 253-1805
803 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 685-9355
Interoperability endpoints
- anton.chertkovsky@direct.lourdes.com
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Emergency Medicine Physician
- Oswego, NY
- NPI 1134370547
-
dba Lourdes
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
dba Auburn Orthopaedic Services
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
-
- Emergency Medicine Physician
- Hamilton, NY
- NPI 1316395460
Physician Assistant
-
- Emergency Medicine Physician
- Central Square, NY
- NPI 1669721296
Physician Assistant
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1225659964
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- 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": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1255833109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 EAST AVE",
"city": "CENTRAL SQUARE",
"state": "NY",
"postal_code": "130362611",
"telephone_number": "315-668-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 EAST AVE",
"city": "CENTRAL SQUARE",
"state": "NY",
"postal_code": "13036",
"telephone_number": "315-668-5212"
}
],
"practiceLocations": [
{
"address_1": "1302 E Main St",
"address_purpose": "LOCATION",
"city": "Endicott",
"state": "NY",
"postal_code": "137605430",
"country_code": "US",
"telephone_number": "607-754-7171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4417 Vestal Pkwy E",
"address_purpose": "LOCATION",
"city": "Vestal",
"state": "NY",
"postal_code": "138503556",
"country_code": "US",
"telephone_number": "607-770-0025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHERTKOVSKY",
"first_name": "ANTON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-07",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021914",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Anton.Chertkovsky@direct.lourdes.com",
"affiliation": "N",
"endpointDescription": "Lourdes Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "169 Riverside Dr",
"city": "Binghamton",
"state": "NY",
"country_code": "US",
"postal_code": "139054246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Central Square, NY
- Central Square Central School District
- Central Square Dental Associates
- Central Square Family Chiropractic, PC
- Central Square Smiles Dentistry
- Cherice Stebbins NP in Family Health PLLC
- Childers Professional Service LLC
- F. Diane Cloyd, RN
- Cltoperations, LLC (A Touch Above)
- Cny True North Mental Health Counseling, PLLC
- Harald J Cohen, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.