Active NPI
Igor Chernyavskiy, M.D.
- Pulmonary Disease Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 214470
- Practice address
- 2625 E 14TH St
Suite 201
Brooklyn, NY 11235-3973 - Phone
- (718) 891-7800
- Fax
- (718) 332-7246
- NPI assigned
- Mar 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 214470 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 214470 | NY | Primary |
Addresses
Primary practice location
2625 E 14TH St
Suite 201
Brooklyn, NY 11235-3973
Mailing address
16 Tallow LN
Lake Grove, NY 11755-1806
Phone (631) 261-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02318261 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2625 E 14TH St
Suite 201
Brooklyn, NY 11235-3973
Phone (718) 891-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214470 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mihail Medvedovsky Physician PC | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Pulmonary Disease | Current | Accepting new patients |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Pulmonary and Sleep Disorders of New York, P.C. | Current | Accepting new patients | |
| Suny Downstate Medical Center | Past | Accepting new patients |
Locations
2625 E 14th St
Ste 201
Brooklyn, NY 11235
Phone (718) 275-1485
3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070
16806 Hillside Ave
Jamaica, NY 11432
Phone (516) 499-1846
100 Nicolls Rd
#13202
Stony Brook, NY 11794
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Interoperability endpoints
- igor.chernyavskiy@direct.stonybrookmedicine.edu
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1942304001
-
- Specialist
- Brooklyn, NY
- NPI 1871772657
-
- Cardiac Rehabilitation Registered Nurse
- Stony Brook, NY
- NPI 1295778371
-
- Pulmonary Disease Physician
- Stony Brook, NY
- NPI 1104865229
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1477520245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 TALLOW LN",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117551806",
"telephone_number": "631-261-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 E 14TH ST",
"address_2": "SUITE 201",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353973",
"telephone_number": "718-891-7800",
"fax_number": "718-332-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNYAVSKIY",
"first_name": "IGOR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "214470",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "214470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02318261",
"state": "NY"
}
],
"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 Oct 31, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.