CHEYNYA JOHNSON-BRIMLEY PA-C
NPI 1003638685
Physician Assistant - Medical in Newark, NJ

Active since October 25, 2024Opted out of Medicare · through May 29, 2027
185 S ORANGE AVE, NEWARK, NJ 07103(848) 445-4636 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cheynya Johnson-brimley Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEYNYA JOHNSON-BRIMLEY PA-C (NPI 1003638685) is an individual medical provider in Newark, New Jersey, licensed in New York (032386) and active in the NPI registry since October 2024. She has opted out of Medicare through May 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003638685
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHEYNYA JOHNSON-BRIMLEYCredential: PA-C
Location Address185 S ORANGE AVENewark, NJ 07103-2757
Mailing Address185 S Orange AveNewark, NJ 07103-2757
Sole ProprietorNo
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
NPI 1003638685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 032386
185 S ORANGE AVE, Newark, NJ 07103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Cheynya Johnson-brimley Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2025 through May 29, 2027.

Opt-Out Effective DateMay 29, 2025
Opt-Out In Effect ThroughMay 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
185 S ORANGE AVE, MSB STE E547
NEWARK, NJ 07103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
185 S ORANGE AVE, MSB I588
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Surgery
185 S ORANGE AVE
NEWARK, NJ 07103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheynya Johnson-brimley's NPI number?

The NPI number for Cheynya Johnson-brimley is 1003638685. It was assigned to this individual provider in the NPPES registry on October 25, 2024.

Where is Cheynya Johnson-brimley located?

Cheynya Johnson-brimley practices at 185 S Orange Ave, Newark, NJ 07103. The listed phone number is (848) 445-4636.

What is Cheynya Johnson-brimley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Cheynya Johnson-brimley enrolled in Medicare?

No. Cheynya Johnson-brimley has opted out of Medicare through May 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Cheynya Johnson-brimley was last updated on October 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.