Individual provider Active NPI

Thomas Cherneskie, M.D.

  • Public Health & General Preventive Medicine Physician
  • New York, NY
National Provider Identifier
1316189988
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
203938 Issued in NY
Practice address
303 9TH Ave # 215
New York, NY 10001-5701
Phone
(347) 396-6299
Fax
(347) 396-6367
NPI assigned
Mar 29, 2009
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 203938 NY Primary

Addresses

Primary practice location

303 9TH Ave # 215
New York, NY 10001-5701

Mailing address

4209 28TH St # CN-48
Long Island City, NY 11101-4130
Phone (347) 396-6299

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151029001607 NY Practitioner - Preventive Medicine 9436468618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203938NYMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of New York Office of Payroll Administration Current Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

3433 Junction Blvd
Fl 2
Jackson Heights, NY 11372
Phone (718) 396-5134

4209 28th St
#15111
Long Island City, NY 11101
Phone (347) 396-4853

4209 28th St
#48
Long Island City, NY 11101
Phone (347) 396-6234

2238 5th Ave
New York, NY 10037
Phone (646) 698-4405

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1316189988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 28TH ST # CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014130",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 9TH AVE # 215",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015701",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNESKIE",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-29",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "203938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.