NPIMap

Individual provider Active NPI

Leonid Chernov, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1902801145
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
197487 Issued in NY
Practice address
2310 65TH St
Ste 2
Brooklyn, NY 11204-4089
Phone
(718) 998-0100
Fax
(718) 998-9239
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 197487 NY Primary

Addresses

Primary practice location

2310 65TH St
Ste 2
Brooklyn, NY 11204-4089

Mailing address

2310 65TH St
Ste 2
Brooklyn, NY 11204-4089
Phone (718) 998-0100

Other identifiers 1

IdentifierTypeStateIssuer
01667918MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lchernov95482@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004001002 NY Practitioner - Cardiovascular Disease (Cardiology) 6305731100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2014 Accepting new patients
Maimonides Medical Center Current Accepting new patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2014 Accepting new patients
Amber Heart Medical, P.C. Cardiovascular Disease PastSince Jan 2, 1999 Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients

Locations

2310 65th St
Ste 2
Brooklyn, NY 11204
Phone (718) 998-0100

2857 W 8th St
#200
Brooklyn, NY 11224

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lchernov95482@nyumc.direct-ci.com
  • Direct secure messaging: leonidchernov@mai.allscriptsdirect.net

Organizations & group practices 5

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 8

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1902801145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 65TH ST",
            "address_2": "STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044089",
            "telephone_number": "718-998-0100",
            "fax_number": "718-998-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 65TH ST",
            "address_2": "STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044089",
            "telephone_number": "718-998-0100",
            "fax_number": "718-998-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNOV",
        "first_name": "LEONID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "197487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667918",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lchernov95482@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "2310 65th St",
            "address_2": "Ste 2",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112044089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.