NPIMap

Individual provider Active NPI

Boris Chernobilsky, M.D.

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1609821297
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
238669 Issued in NY
Practice address
923 5TH Ave Apt New
New York, NY 10021-2649
Phone
(212) 444-8006
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 238669 NY Primary

Addresses

Primary practice location

923 5TH Ave Apt New
New York, NY 10021-2649

Mailing address

1671 Summerfield St Apt 1a
Ridgewood, NY 11385-3567
Phone (917) 846-4617

Other identifiers 1

IdentifierTypeStateIssuer
03233401MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bchernobilsky260837@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000148 NY Practitioner - OtolaryngologyPractitioner - Internal Medicine 6608978978 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York at Stony Brook, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince May 13, 2024 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Oct 12, 2024 Accepting new patients
New York University CurrentSince Jul 1, 2018 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince May 13, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Nassau Health Care Corporation CurrentSince Apr 17, 2025 Accepting new patients
Nassau Health Care Corporation CurrentSince Apr 17, 2025 Accepting new patients
New York University Otolaryngology CurrentSince Jul 1, 2018 Accepting new patients
Bimc Faculty Practice Otolaryngology Past Accepting new patients
Sage Otolaryngology PLLC Otolaryngology PastSince Aug 14, 2006 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

391 Eastern Pkwy
Brooklyn, NY 11216
Phone (718) 613-1600

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

240 E 38th St
Fl 14
New York, NY 10016
Phone (212) 263-7349

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: bchernobilsky673874@nychhc.direct-ci.com
  • Direct secure messaging: bchernobilsky67605@northwell.direct-ci.com

Organizations & group practices 11

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 11

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1609821297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 SUMMERFIELD ST APT 1A",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853567",
            "telephone_number": "917-846-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 5TH AVE APT NEW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212649",
            "telephone_number": "212-444-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNOBILSKY",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "238669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03233401",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bchernobilsky260837@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "240 E 38th St Fl 14",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.