Polina Chernyak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02865500 Issued in NJ

Practice address

680 W Main St
Freehold, NJ 07728-2527

Phone

(732) 462-8770

NPI assigned

May 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gordon Miller Dental

  • General Practice Dentistry
  • Freehold, NJ
  • NPI 1053921783
  NPD
• NJ Dental Partners One LLC

  • General Practice Dentistry
  • Freehold, NJ
  • NPI 1730679390
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1669851408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282527",
            "telephone_number": "732-462-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282527",
            "telephone_number": "732-462-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNYAK",
        "first_name": "POLINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02865500",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058279",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Valmont Charles, MD
• Chatterbox Speech& Language
• Ayesha Chaudhary, MD
• Aasim Iqbal Chaudhry, MD
• Kaaba Chenault, RN, IBCLC, CCE
• Yuliya Chernyak, DAOM
• German Chernyavsky, MSPT
• Laura Chiafullo
• Jessica Chiaramonte
• Robert Chickara, DC

• General Practice Dentistry in Freehold, NJ
• Providers in Freehold, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.