HEATHER MARIE CHERNOSKY OTR/L
NPI 1386366201
Occupational Therapist - Physical Rehabilitation in Lakewood, NJ

NPI Status: Active since September 16, 2022

Contact Information

1400 ROUTE 70
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 370-0444

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  • Individual
  • Female
  • Years of Experience 13
  • Occupational Therapist
  • Physical Rehabilitation
  • Accepts Medicare Approved Payment

About HEATHER CHERNOSKY

This page provides the complete NPI Profile along with additional information for Heather Chernosky, a provider established in Lakewood, New Jersey with a medical specialization in Occupational Therapist, focusing in physical rehabilitation and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1386366201 assigned on September 2022. The practitioner's primary taxonomy code is 225XP0019X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1386366201
Provider Name
HEATHER MARIE CHERNOSKY OTR/L
Gender
Female
Entity Type
Individual
Location Address
1400 ROUTE 70 LAKEWOOD, NJ 08701
Location Phone
(732) 370-0444
Mailing Address
2509 SPRUCE ST POINT PLEASANT BORO, NJ 08742
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
09-16-2022
Last Update Date
09-16-2022
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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

Occupational Therapist Physical Rehabilitation

Taxonomy Code
225XP0019X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Occupational therapists are experts at helping people lead as independent a life as possible. Occupational therapists bring an understanding of the physical and psychological implications of illness and injury and their effects on peoples' ability to perform the tasks of daily living. Occupational therapists provide interventions that can aide a person in completing ADL and IADL tasks, such as dressing, bathing, preparing meals, and driving. They also may fabricate custom orthotics to improve function, evaluate the environment for safety hazards and recommend adaptations to remove those hazards, help a person compensate for cognitive changes, and build a persons' physical endurance and strength. Occupational therapists' knowledge of adapting tasks and modifying the environment to compensate for functional limitations is used to increase the involvement of clients and to promote safety and success.

Medicare Participation & PECOS Enrollment Status

Heather Chernosky 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.

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.

  • PECOS PAC ID: 2365973138

    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: I20241003002221

    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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $35.08 for a new patient copayment and $19.11 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 08701 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $140.34
  • Minimum New Patient Price $61.59
  • Maximum New Patient Price $185.05
  • Average New Patient Copayment $35.08
  • Minimum New Patient Copayment $15.39
  • Maximum New Patient Copayment $46.26

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $76.45
  • Minimum Established Patient Price $20.08
  • Maximum Established Patient Price $150.98
  • Average Established Patient Copayment $19.11
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $37.74

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1386366201, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 6 + 6 + 6 + 6 + 1 + 2 + 2 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1386366201.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Social Worker (Clinical)
1400 ROUTE 70
LAKEWOOD, NJ 08701
Assisted Living Facility
1400 ROUTE 70
LAKEWOOD, NJ 08701
Assisted Living Facility
1400 ROUTE 70
LAKEWOOD, NJ 08701
Speech-Language Pathologist
1400 ROUTE 70
LAKEWOOD, NJ 08701
Assisted Living Facility
1400 ROUTE 70
LAKEWOOD, NJ 08701
Alzheimer Center (Dementia Center)
1400 ROUTE 70
LAKEWOOD, NJ 08701
Occupational Therapist
1400 ROUTE 70
LAKEWOOD, NJ 08701
Licensed Practical Nurse
1400 ROUTE 70
LAKEWOOD, NJ 08701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386366201, enumerated as an "individual" on September 16, 2022.

The provider is located at 1400 ROUTE 70 LAKEWOOD, NJ 08701 and the phone number is (732) 370-0444.

Occupational Therapist with taxonomy code 225XP0019X and a focus in Physical Rehabilitation.