Individual provider Active NPI

Allan Tschernia, MD

  • Pediatric Gastroenterology Physician
  • New Brunswick, NJ
National Provider Identifier
1831274729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
Practice address
89 French Street
Children's Health Institute of New Jersey - Suite 2300
New Brunswick, NJ 08901
Phone
(732) 235-6230
Fax
(732) 235-8766
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X NJ Primary

Addresses

Primary practice location

89 French Street
Children's Health Institute of New Jersey - Suite 2300
New Brunswick, NJ 08901

Mailing address

317 George St
3Rd Floor, Provider Enrollment
New Brunswick, NJ 08901-2008
Phone (732) 235-6772

Other identifiers 1

IdentifierTypeStateIssuer
8937605MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MAO7421800NJMDPediatric Gastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831274729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST",
            "address_2": "3RD FLOOR, PROVIDER ENROLLMENT",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008",
            "telephone_number": "732-235-6772",
            "fax_number": "732-235-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 FRENCH STREET",
            "address_2": "CHILDREN'S HEALTH INSTITUTE OF NEW JERSEY - SUITE 2300",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "732-235-6230",
            "fax_number": "732-235-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHERNIA",
        "first_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.