NPIMap

Organization Active NPI

Daniel E Chervony MD PA and Associates

  • Psychiatry Physician
  • Tamarac, FL
National Provider Identifier
1912192998
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DANIEL E CHERVONY MD PA AND ASSOCIATES
Practice address
7431 N University Dr
Suite 204
Tamarac, FL 33321-2956
Phone
(954) 720-7999
Fax
(954) 720-5335
NPI assigned
Sep 12, 2007
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Daniel Enrique Chervony, MDNPI 1467515361
Title
MD/Owner
Phone
(957) 720-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychologist 103T00000X
Social Worker 104100000X
Psychiatry Physician 2084P0800X Primary
Psychoanalyst 102L00000X

Addresses

Primary practice location

7431 N University Dr
Suite 204
Tamarac, FL 33321-2956

Mailing address

7431 N University Dr
Suite 204
Tamarac, FL 33321-2956
Phone (954) 720-7999

Other identifiers 2

IdentifierTypeStateIssuer
061389400MedicaidFL
07597OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607001304 FL Part B Supplier - Clinic/Group Practice 0840272324 Receives reassigned benefits from 6 practitioners
Practice locations: Tamarac, FL

National Provider Directory

National Provider Directory

Locations

7431 N University Dr
Ste 204
Tamarac, FL 33321
Phone (954) 328-5219

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1912192998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 N UNIVERSITY DR",
            "address_2": "SUITE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212956",
            "telephone_number": "954-720-7999",
            "fax_number": "954-720-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 N UNIVERSITY DR",
            "address_2": "SUITE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212956",
            "telephone_number": "954-720-7999",
            "fax_number": "954-720-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E CHERVONY MD PA AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CHERVONY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "957-720-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061389400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07597",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.