MR. BRAD M CHERNOCK MD PA-C NPI 1588967285

NPI Information

NPI: 1588967285
Provider Name: MR. BRAD M CHERNOCK, MD, PA-C
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
185 S ORANGE AVE
NEWARK, NJ
ZIP 07103
Phone: (908) 447-7926
Get Directions

MR. Brad M Chernock, MD, PA-C is a student in an organized health care education training program in Newark, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Brad M Chernock, MD, PA-C NPI is 1588967285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

185 S ORANGE AVE
NEWARK, NJ
ZIP 07103-757
Phone: (908) 447-7926

The NPI 1588967285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2010 and was last updated on 3/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		014519	NEW YORK	No
2	363AS0400X	Physician Assistant	Surgical	MP2500251700	NEW JERSEY	No
3	390200000X	Student in an Organized Health Care Education/Training Program			NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0357669	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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