Active NPI
Mark Edward Czerniak Sr., D.C.
- Chiropractor
- Westfield, MA
National Provider Identifier
1386781680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2628
- Practice address
- 98 Montgomery Road
Westfield, MA 01085 - Phone
- (413) 210-5658
- NPI assigned
- Jan 30, 2007
- Last updated
- Jun 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2628 | MA | Primary |
Addresses
Primary practice location
98 Montgomery Road
Westfield, MA 01085
Mailing address
98 Montgomery Road
Westfield, MA 01085
Phone (413) 210-5658
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36848 | Other | MA | BCBS |
| AA38091 | Other | MA | HARVARD PILGRIM |
| 1600192 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050728000645 | MA | Practitioner - Chiropractic | 5991733206 | Practice locations: Montgomery, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spine Centers, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1386781680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 MONTGOMERY ROAD",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "01085",
"telephone_number": "413-210-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 MONTGOMERY ROAD",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "01085",
"telephone_number": "413-210-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZERNIAK",
"first_name": "MARK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y36848",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA38091",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1600192",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.