Mr Roman Walter Chornodolsky, MD is a 
General Practice physician based in Ho-ho-kus, New Jersey. Mr Roman Walter Chornodolsky is licensed to practice in New Jersey (license number 25MA04588500) and his current practice location is 76 Arbor Drive, Ho-ho-kus, New Jersey. He can be reached at his office (for appointments etc.) via phone at 
(201) 652-1947.
NPI number for Mr Roman Walter Chornodolsky is 1861796476 and his current mailing address is 76 Arbor Drive, Ho-ho-kus, New Jersey. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861796476.
			
			
			
			
			
		
		 
Physician's Profile
		
			
			
			| Full Name | Mr Roman Walter Chornodolsky | 
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| Gender | Male | 
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| Speciality | General Practice | 
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| Location | 76 Arbor Drive, Ho-ho-kus, New Jersey | 
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
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						  NPI Data:
			
			- NPI Number: 1861796476
- Provider Enumeration Date: 12/23/2010
- Last Update Date: 12/23/2010
 
		 
		 
Medical Identifiers
		Medical identifiers for Mr Roman Walter Chornodolsky such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1861796476 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 208D00000X | General Practice | 25MA04588500 (New Jersey) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roman Walter Chornodolsky is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mr Roman Walter Chornodolsky, MD 76 Arbor Drive,
 Ho-ho-kus, NJ 07423-1663
 Ph: (201) 652-1947
 | Mr Roman Walter Chornodolsky, MD 76 Arbor Drive,
 Ho-ho-kus, NJ 07423-1663
 Ph: (201) 652-1947
 | 
		
		 
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