Individual provider Active NPI

Anna Chernyak, MD

  • Internal Medicine Physician
  • Union, NJ
National Provider Identifier
1558437665
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06605400 Issued in NJ
Practice address
2401 Morris Ave
Ist FL
Union, NJ 07083-5745
Phone
(908) 810-9330
Fax
(908) 810-9323
NPI assigned
Nov 28, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06605400 NJ Primary

Addresses

Primary practice location

2401 Morris Ave
Ist FL
Union, NJ 07083-5745

Mailing address

2132 Princeton Ave
Scotch Plains, NJ 07076-4626
Phone (908) 928-0457

Other identifiers 1

IdentifierTypeStateIssuer
7300301MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20041111000889 NJ Practitioner - Internal Medicine 9830152610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1767 Morris Ave
Suite 220
Union, NJ 07083-3511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Chernyak, MD LLC CurrentSince Jun 12, 2013 Accepting new patients

Locations

1767 Morris Ave
Ste 220
Union, NJ 07083
Phone (908) 451-8970

2401 Morris Ave
Union, NJ 07083
Phone (908) 688-5000

Organizations & group practices 1

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 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558437665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 PRINCETON AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764626",
            "telephone_number": "908-928-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MORRIS AVE",
            "address_2": "IST FL",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835745",
            "telephone_number": "908-810-9330",
            "fax_number": "908-810-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNYAK",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06605400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7300301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.