Individual provider Active NPI

Marina Chernin

  • General Practice Dentistry
  • Parsippany, NJ
National Provider Identifier
1932173150
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17108 Issued in NJ
Practice address
259 Baldwin Rd
Parsippany, NJ 07054-2007
Phone
(973) 263-7300
Fax
(973) 263-3076
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17108 NJ Primary

Addresses

Primary practice location

259 Baldwin Rd
Parsippany, NJ 07054-2007

Mailing address

259 Baldwin Rd
Parsippany, NJ 07054-2007
Phone (973) 263-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716001984 NY Order and Referring Only - DentistPractitioner - Dentist 3375856545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17108NJMDGeneral Practice Dentistry
042317NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Dental Group General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1932173150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 BALDWIN RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542007",
            "telephone_number": "973-263-7300",
            "fax_number": "973-263-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BALDWIN RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542007",
            "telephone_number": "973-263-7300",
            "fax_number": "973-263-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNIN",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "17108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.