Provider Demographics
NPI:1558437665
Name:CHERNYAK, ANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:CHERNYAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-4626
Mailing Address - Country:US
Mailing Address - Phone:908-928-0457
Mailing Address - Fax:
Practice Address - Street 1:2401 MORRIS AVE
Practice Address - Street 2:IST FL
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5745
Practice Address - Country:US
Practice Address - Phone:908-810-9330
Practice Address - Fax:908-810-9323
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06605400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7300301Medicaid
NJ7300301Medicaid
NJ901318Medicare ID - Type Unspecified