Individual provider Active NPI

Yevgeny Chernyak, MD

  • Anesthesiology Physician
  • Havertown, PA
National Provider Identifier
1699761247
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD057559L Issued in PA
Practice address
2010 Old West Chester Pike
Ste 330
Havertown, PA 19083-2712
Phone
(610) 789-8070
Fax
(610) 789-9937
NPI assigned
Sep 20, 2005
Last updated
May 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD057559L PA Primary

Addresses

Primary practice location

2010 Old West Chester Pike
Ste 330
Havertown, PA 19083-2712

Mailing address

PO Box 1250
Havertown, PA 19083-5850
Phone (717) 263-5562

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
I20031111000199 PA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5799698296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Medical Group LLCGroup PAC ID 6204145642, 29 clinicians

Practice addresses (Care Compare)

2701 Dekalb Pike
Norristown, PA 19401-1820
Phone (610) 278-2000

501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9200

5735 Ridge Ave
Philadelphia, PA 19128-1746
Phone (215) 487-1887

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD057559LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Medical Group LLC Anesthesiology CurrentSince Dec 10, 2022 Accepting new patients
Enps Mercy Primary Care at Plymouth Meeting Past Accepting new patients

Locations

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

2701 DeKalb Pike
#H
Norristown, PA 19401
Phone (215) 851-8829

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

Organizations & group practices 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1699761247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835850",
            "telephone_number": "717-263-5562",
            "fax_number": "171-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OLD WEST CHESTER PIKE",
            "address_2": "STE 330",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNYAK",
        "first_name": "YEVGENY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD057559L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.