Individual provider Active NPI

Anton Chertkovsky, PA

  • Physician Assistant
  • Central Square, NY
National Provider Identifier
1255833109
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021914 Issued in NY
Practice address
3045 East Ave
Central Square, NY 13036
Phone
(315) 668-5212
NPI assigned
Mar 7, 2018
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180328000325 NY Practitioner - Physician Assistant 4486916640 Reassigns benefits to 6 organizations

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
Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians
United Health Services Hospitals, Inc.Group PAC ID 5193610533, shared by 9 NPIs, 471 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
73.63 of 100Reported as group
Quality
64.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
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

LicenseStateTypeSpecialty
021914NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Feb 1, 2026 Accepting new patients
Auburn Community Hospital CurrentSince Aug 1, 2022 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Port City Emergency Physicians LLP Physician Assistant CurrentSince Mar 15, 2018 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Aug 1, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince May 15, 2019 Accepting new patients
Port City Emergency Physicians LLP Physician Assistant CurrentSince Mar 15, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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

Sources for this page

Verify at the official NPI Registry.