Organization Active NPI

Anna Chernyak, MD LLC

  • Primary Care Clinic/Center
  • Union, NJ
National Provider Identifier
1275973372
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA06605400 Issued in NJ
Legal business name
ANNA CHERNYAK, MD LLC
Practice address
2401 Morris Ave
Union, NJ 07083-5745
Phone
(908) 810-9330
Fax
(908) 810-9323
NPI assigned
Jul 3, 2013
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Dr. Anna Chernyak, MDNPI 1558437665
Title
Owner/Physician
Phone
(908) 810-9330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA06605400 NJ Primary

Addresses

Primary practice location

2401 Morris Ave
Union, NJ 07083-5745

Mailing address

2401 Morris Ave
Union, NJ 07083-5745
Phone (908) 810-9330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140623000977 NJ Part B Supplier - Clinic/Group Practice 5294959870 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

1767 Morris Ave
Ste 220
Union, NJ 07083
Phone (908) 451-8970

2401 Morris Ave
Union, NJ 07083
Phone (908) 688-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1275973372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835745",
            "telephone_number": "908-810-9330",
            "fax_number": "908-810-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835745",
            "telephone_number": "908-810-9330",
            "fax_number": "908-810-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA CHERNYAK, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "CHERNYAK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "908-810-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA06605400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.