Provider Demographics
NPI:1831860527
Name:CHECKMATE HEALTH STRATEGIES PA P.C.
Entity type:Organization
Organization Name:CHECKMATE HEALTH STRATEGIES PA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELEONORA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WALCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:855-682-2455
Mailing Address - Street 1:815 ROUTE 82 UNIT 181
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-7737
Mailing Address - Country:US
Mailing Address - Phone:855-682-2455
Mailing Address - Fax:558-355-8578
Practice Address - Street 1:149 DUPONT ST APT 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-1167
Practice Address - Country:US
Practice Address - Phone:855-682-2455
Practice Address - Fax:855-835-5857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY191992913OtherPHYSICIAN ASSISTANT