Active NPI
Judah Azriel Charnoff, MD
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1396738787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 162697
- Practice address
- 1262 Ocean Pkwy
Brooklyn, NY 11230-5102 - Phone
- (718) 859-5843
- Fax
- (718) 859-6284
- NPI assigned
- Aug 31, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 162697 | NY | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 162697 | NY |
Addresses
Primary practice location
1262 Ocean Pkwy
Brooklyn, NY 11230-5102
Mailing address
1262 Ocean Pkwy
Brooklyn, NY 11230-5102
Phone (718) 859-5843
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000288590102 | Other | HEALTH PLUS | |
| 1626971 | Other | HIP | |
| 2003667 | Other | AETNA | |
| 060059434 | Other | RAILROAD MEDICARE | |
| 2C0986 | Other | HEALTH NET | |
| 162697C15 | Other | HEALTH FIRST | |
| 17F231 | Other | EMPIRE HEALTH CHOICE | |
| BK0051203 | Other | AMERICHOICE | |
| 0014788 | Other | AETNA | |
| 91304 | Other | ELDERPLAN | |
| 01146345 | Medicaid | NY | |
| 0308476001 | Other | CIGNA | |
| 442662 | Other | UNITED HEALTHCARE | |
| BK0051204 | Other | AMERICHOICE | |
| KS618 | Other | OXFORD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
Locations
1262 Ocean Pkwy
Brooklyn, NY 11230
Phone (718) 859-5843
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Interoperability endpoints
- judahcharnoff@mai.allscriptsdirect.net
- judahcharnoff@nslijmedgr.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1396738787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1262 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305102",
"telephone_number": "718-859-5843",
"fax_number": "718-859-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1262 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305102",
"telephone_number": "718-859-5843",
"fax_number": "718-859-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNOFF",
"first_name": "JUDAH",
"middle_name": "AZRIEL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "162697",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "162697",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "000288590102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "1626971",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2003667",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060059434",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2C0986",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "162697C15",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE HEALTH CHOICE",
"identifier": "17F231",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "BK0051203",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0014788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "91304",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01146345",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0308476001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "442662",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "BK0051204",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "KS618",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.