Individual provider Active NPI

Cynthia Chernyavsky, PT

  • Physical Therapist
  • Howell, NJ
National Provider Identifier
1407486392
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00614300 Issued in NJ
Practice address
201 Candlewood CMNS
Howell, NJ 07731-2169
Phone
(732) 994-7755
NPI assigned
Jan 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00614300 NJ Primary

Addresses

Primary practice location

201 Candlewood CMNS
Howell, NJ 07731-2169

Mailing address

14 Longfellow CT
Freehold, NJ 07728-4323
Phone (732) 266-2982

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL admin@connectpt.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1407486392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LONGFELLOW CT",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284323",
            "telephone_number": "732-266-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CANDLEWOOD CMNS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312169",
            "telephone_number": "732-994-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNYAVSKY",
        "first_name": "CYNTHIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00614300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@connectpt.org",
            "affiliation": "N",
            "endpointDescription": "admin@connectpt.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 Candlewood Cmns",
            "city": "Howell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077312169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.