Natalia Cherkassky, ANP,BC

Individual provider Active NPI Adult Health Nurse Practitioner · Fair Lawn, NJ

NPI 1528292778 · NPPES record last updated May 3, 2009

Key facts

NPI
1528292778
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
F305106-1 (NJ)
Practice address
34-14 Stelton Ter
Fair Lawn, NJ 07410-4313
Phone
(201) 475-2202
NPI assigned
May 3, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140811001958 NY Order and Referring Only - Nurse Practitioner 5395962625

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
F305106-1NJMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ncherkassky36108@nyumc.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305106-1 NJ Yes

Addresses

Primary practice location

34-14 Stelton Ter
Fair Lawn, NJ 07410-4313

Mailing address

34-14 Stelton Ter
Fair Lawn, NJ 07410-4313
Phone (201) 475-2202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2009.

{
    "created_epoch": "1241308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241308800000",
    "number": "1528292778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-14 STELTON TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104313",
            "telephone_number": "201-475-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-14 STELTON TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104313",
            "telephone_number": "201-475-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERKASSKY",
        "first_name": "NATALIA",
        "credential": "ANP,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-03",
        "last_updated": "2009-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "F305106-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

All providers in Fair Lawn, NJ · Adult Health Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.