Evan Chugerman, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

052122-1 Issued in PA

Practice address

1705 Broadway
Suite 5
Hewlett, NY 11557-1600

Phone

(516) 593-0000

Fax

(516) 593-0052

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1508017773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BROADWAY",
            "address_2": "SUITE 5",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571600",
            "telephone_number": "516-593-0000",
            "fax_number": "516-593-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BROADWAY",
            "address_2": "SUITE 5",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571600",
            "telephone_number": "516-593-0000",
            "fax_number": "516-593-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGERMAN",
        "first_name": "EVAN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "052122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmel Physical Therapy of New York, PLLC
• Olga Chernomaz
• Jenny Pao-Yee Chin, PHARM.D
• Corena Marie Christensen, FNP
• CHS Physician Partners, PC (Hewlett Internal Medicine)
• Serina T Chung, M.D.
• Joseph Peter Ciaccio, DDS
• Victoria Ciano
• Ciro A Ciccarelli, MD
• Daniel H Cohen, M.D.

• Endodontics in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.

Verify at the official NPI Registry.