Individual provider Active NPI

Zenia A Chernyk, D.O.

  • Nephrology Physician
  • Huntingdon Valley, PA
National Provider Identifier
1639114010
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS003929L Issued in PA
Practice address
930 Henrietta Ave
Suite a
Huntingdon Valley, PA 19006-8502
Phone
(215) 663-9006
Fax
(215) 663-5673
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS003929L PA Primary

Addresses

Primary practice location

930 Henrietta Ave
Suite a
Huntingdon Valley, PA 19006-8502

Mailing address

930 Henrietta Ave
Suite a
Huntingdon Valley, PA 19006-8502
Phone (215) 663-9006

Other identifiers 1

IdentifierTypeStateIssuer
000875883MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080319000017 PA Practitioner - NephrologyPractitioner - Internal Medicine 0446336317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philadelphia Hypertension and Nephrology Consultants PCGroup PAC ID 4587578893, 6 clinicians

Practice addresses (Care Compare)

2701 Holme Ave
Suite 203
Philadelphia, PA 19152-2029
Phone (215) 331-0515

Hospital & facility affiliations

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Hypertension & Nephrology Consultants PC Nephrology CurrentSince Nov 1, 2010 Accepting new patients

Locations

727 Welsh Rd
Ste 101
Huntingdon Vy, PA 19006
Phone (215) 914-0600

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

2701 Holme Ave
Ste 203
Philadelphia, PA 19152
Phone (215) 331-0515

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1639114010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 HENRIETTA AVE",
            "address_2": "SUITE A",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068502",
            "telephone_number": "215-663-9006",
            "fax_number": "215-663-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 HENRIETTA AVE",
            "address_2": "SUITE A",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068502",
            "telephone_number": "215-663-9006",
            "fax_number": "215-663-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNYK",
        "first_name": "ZENIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS003929L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000875883",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.