Individual provider Active NPI

Vladislav Chernyshenko, D.O.

  • Family Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1447654322
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
279738 Issued in NY
Practice address
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone
(718) 869-7000
NPI assigned
Oct 21, 2014
Last updated
Sep 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 279738 NY Primary

Addresses

Primary practice location

327 Beach 19TH St
Far Rockaway, NY 11691-4423

Mailing address

327 Beach 19TH St
Far Rockaway, NY 11691-4423

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
I20150911000192 NY Practitioner - Family Practice 4183931918 Reassigns benefits to 4 organizations
Practice locations: Far Rockaway, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gramercy Medical Services PCGroup PAC ID 5092079632, 6 clinicians
Visiting Services, LLCGroup PAC ID 2961824842, 31 clinicians
St John's Medical Services PCGroup PAC ID 1850314865, 89 clinicians

Practice addresses (Care Compare)

1509 Central Ave
Far Rockaway, NY 11691-4001
Phone (718) 471-7700

240 N Main St
Spring Valley, NY 10977-4020
Phone (845) 374-0410

275 Rockaway Tpke
Lawrence, NY 11559-1272
Phone (718) 696-0632

3010 W 33Rd St
Brooklyn, NY 11224-1404
Phone (718) 996-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279738NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Jun 8, 2020 Accepting new patients
Visiting Services, LLC CurrentSince Jul 9, 2025 Accepting new patients
Hospitalist Healthcare Services PLLC Family Medicine Current Accepting new patients
Gramercy Medical Services P.C. CurrentSince Apr 28, 2021 Accepting new patients
Hospitalist Healthcare Services PLLC Family Medicine CurrentSince Jul 31, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC Family Medicine CurrentSince Jul 31, 2015 Accepting new patients
Episcopal Health Services Inc Past Accepting new patients
Episcopal Health Services Inc PastSince Jun 8, 2020 Accepting new patients
Lawrence Nursing Care Center, Inc. Past Accepting new patients
Promenade Nursing Home, Inc Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3010 W 33rd St
Brooklyn, NY 11224
Phone (347) 713-8648

1909 Plainview Ave
Far Rockaway, NY 11691
Phone (718) 869-7690

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

13916 91st Ave
Jamaica, NY 11435
Phone (718) 454-8556

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vladislav.chernyshenko.2@14448.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1447654322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BEACH 19TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BEACH 19TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914423",
            "telephone_number": "718-869-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNYSHENKO",
        "first_name": "VLADISLAV",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "279738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.