Scotadam Judah Chernov, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2075 Issued in MA

Practice address

322 Main St
Gloucester, MA 01930-3011

Phone

(978) 281-0049

Fax

(978) 282-1537

NPI assigned

Aug 31, 2006

Last updated

Jul 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1801908314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303011",
            "telephone_number": "978-281-0049",
            "fax_number": "978-282-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303011",
            "telephone_number": "978-281-0049",
            "fax_number": "978-282-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNOV",
        "first_name": "SCOTADAM",
        "middle_name": "JUDAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2075",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0083881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "765787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y36454",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "Y39202",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "350084",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary C Chao, LMHC
• Jonathan Chapin
• Kyle Avery Chear
• Xiyan Chen
• Rebecca Chernek, LICSW
• Jean Robinson Childs, OT
• Brianne Martha Christopher
• Elizabeth Mary Ciolino, LIC.AC, LMT, PTA
• Salvatore Ciolino, RPH
• City of Gloucester (c/o City of Gloucester Health Dept)

• Chiropractor in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.