Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Ryan Chernick

Individual provider Physician Assistant · NPI 1104491489

Justin Ryan Chernick is a Physician Assistant in Mineola, New York. Qualified in 2024, 2 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-0333
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026801 (NY)

Record details

NPI number1104491489
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address24 Cornelia Ln, Lake Grove, NY 11755-2527

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola