Mordechai Czermak

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01263000 Issued in NJ

Practice address

233 Bent Hook Rd
Toms River, NJ 08755-1033

Phone

(848) 223-1487

NPI assigned

Feb 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Lakewood Resource and Referral Center IncGroup PAC ID 6901981497, 106 clinicians

L'Refuah Medical and Rehabilitation Center, Inc.Group PAC ID 8628068731, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (8 of 11)

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: mordy.czermak.d1.p1@direct.ezramedical.nextgenshare.com
• Direct secure messaging: mordecha.czermak@chemed.eclinicaldirectplus.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lakewood Resource and Referral Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1083748297
  Medicare reassignment Care Compare group NPD
• L'Refuah Medical & Rehabilitation Center, Inc.

  • Community Health Worker
  • Brooklyn, NY
  • NPI 1861859878
  Medicare reassignment Care Compare group NPD
• Hasc Diagnostic &Treatment Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1902872591
  Medicare reassignment NPD
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, NJ
  • NPI 1124844816
  NPD
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1518437474
  NPD
• Hasc Diagnostic & Treatment Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1790678647
  NPD
• L'Refuah Medical & Rehabilitation Center, Inc.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1578800025
  NPD
• L'Refuah Medical & Rehabilitation Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1427098227
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1487300083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 BENT HOOK RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551033",
            "telephone_number": "848-223-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BENT HOOK RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551033",
            "telephone_number": "848-223-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERMAK",
        "first_name": "MORDECHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01263000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cure RX Pharmacy PC
• Dave Michael Curtis
• Cutting Edge ABA
• Bozena Czekalski, APN
• Kenneth Czenis, OT
• Christopher D'Alterio, OD
• Suzanne D'Arcangelo, M.A., CCC-SLP
• Annette Eric D'Souza, APN
• Janet L Dacunza, PT
• Kevin Dager, MD

• Family Nurse Practitioner in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.

Verify at the official NPI Registry.