MEDICARE: DR. JASON LEE CHERTOFF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA10976700	NJ
2	207R00000X	Internal Medicine Physician	35.135018	OH
3	207RP1001X	Pulmonary Disease Physician	ME134216	FL
4	207R00000X	Internal Medicine Physician	U6932	TX
5	207RP1001X	Pulmonary Disease Physician	75822	CT

General Provider Information

NPI Number	:	1336571116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON LEE CHERTOFF M.D.

Provider Business Mailing Address
First Line	:	386 NORTHVIEW DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-1047
Country	:	US
Telephone Number	:	917-232-0297
Fax Number	:

Provider Business Practice Location Address
First Line	:	386 NORTHVIEW DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-1047
Country	:	US
Telephone Number	:	917-232-0297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	06/17/2026

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