EVAN CHERNOFF DO
NPI 1063919926
Student in an Organized Health Care Education/Training Program in New York, NY

NPI Status: Active since April 08, 2018

Contact Information

177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY
ZIP 10032
Phone: (212) 305-3038

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  • Individual
  • Male
  • Years of Experience 8
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About EVAN CHERNOFF

This page provides the complete NPI Profile along with additional information for Evan Chernoff, a primary care provider established in New York, New York with a medical specialization in Student In An Organized Health Care Education/training Program and more than 8 years of experience. He graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2018. The healthcare provider is registered in the NPI registry with number 1063919926 assigned on April 2018. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1063919926
Provider Name
EVAN CHERNOFF DO
Gender
Male
Entity Type
Individual
Location Address
177 FT WASHINGTN AVE # 7GS-313 NEW YORK, NY 10032
Location Phone
(212) 305-3038
Mailing Address
177 FT WASHINGTN AVE # 7GS-313 NEW YORK, NY 10032
Mailing Phone
(212) 305-3038
Mailing Fax
Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year
2018
Is Sole Proprietor?
Yes
Enumeration Date
04-08-2018
Last Update Date
04-08-2018
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A primary care provider (PCP) like Evan Chernoff sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Evan Chernoff is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Evan Chernoff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3577800960

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230906002604

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Evan Chernoff is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST CHARLES HOSPITAL200 BELLE TERRE ROAD
PORT JEFFERSON, NY 11777
(631) 474-6000Acute Care Hospitals

Reviews for EVAN CHERNOFF DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063919926
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231811894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 8 + 1 + 1 + 8 + 9 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1063919926 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861802886 VINCENT TRIVIGNO
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3028
1669834289 JAKE PRIGOFF M.D.
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1588198444 GREGORY KEEFE M.D.
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1376048777 TAYLOR GLOR
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1750840534 SOPHIE MAYEUX
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1790245785 HYE MIN CHOI
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1033772215 MEGHAL SHAH
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1336702075 JULIE VAN HASSEL MD
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1952965436 TEJAS SUDARSHAN SATHE
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1144857939DR. CAITLIN SILVESTRI MD
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1376171314DR. DAVID ABERLIN COHEN MD
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1326676644DR. ALEXANDRA ARMENIA SANSOSTI MD
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-8321
1114222783DR. ANGEL ROSARIO JR. MD, MPH
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1811516412 KARINA ANGELINA BRUESTLE MD
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1265051502DR. KWANZA TAMU WARREN MD
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1790366227DR. CASIDHE-NICOLE RAMIREZ BETHANCOURT MD
Individual
Student in an Organized Health Care Education/Training Program177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3083
1427478163DR. BARBARA COONS MD
Individual
Surgery (Pediatric Surgery)177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038
1336535202DR. PHILLIP KIM M.D., M.B.A.
Individual
Surgery177 FT WASHINGTN AVE # 7GS-313
NEW YORK, NY 10032
(212) 305-3038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063919926, enumerated in the NPI registry as an "individual" on April 08, 2018

The provider is located at 177 Ft Washingtn Ave # 7gs-313 New York, Ny 10032 and the phone number is (212) 305-3038

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 8 years of experience. He graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2018.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): ST CHARLES HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 08, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.