Mini Chacko, NNP
Nurse Practitioner, Neonatal, Critical Care in Livingston, New Jersey
1467908517- Practice location
- 94 Old Short Hills RD, Livingston, NJ 07039-5672
- Phone
- 973-322-5000
- Fax
- —
- Last updated
- August 29, 2016
Mini Chacko is a Nurse Practitioner, Neonatal, Critical Care based in Livingston, NJ. Mini Chacko practices in Livingston, NJ and has the professional credentials of NNP. The NPI Number for Mini Chacko is 1467908517 and holds a License No. 26NJ00655400 (NJ). The current practice location address for Mini Chacko is 94 Old Short Hills RD, Livingston, NJ 07039-5672 and can be reached out via phone at 973-322-5000.
Provider Profile Details
- NPI Number
- 1467908517
- Provider Name
- Mini Chacko
- Credential
- NNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 94 Old Short Hills RD, Livingston, NJ 07039-5672
- Phone Number
- 973-322-5000
- Primary Taxonomy
- Nurse Practitioner, Neonatal, Critical Care · 363LN0005X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 29, 2016
- Last Update Date
- August 29, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 94 Old Short Hills RD
Livingston, NJ 07039-5672 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-5672
- Phone Number
- 973-322-5000
Provider Business Mailing Address Details
- Address
- 8 Edgemere RD
Livingston, NJ 07039-2807 - City
- Livingston
- State
- NJ
- Zip
- 07039-2807
- Phone Number
- 973-992-5247
License Information
- License Number
- 26NJ00655400
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Neonatal, Critical Care · 363LN0005X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mini Chacko, NNP?
The NPI number of Mini Chacko, NNP is 1467908517. It was assigned on August 29, 2016 and is currently active in the NPPES registry.
What is the specialty of Mini Chacko, NNP?
Mini Chacko, NNP is registered under the primary taxonomy Nurse Practitioner, Neonatal, Critical Care (code 363LN0005X), licensed in NJ under license number 26NJ00655400.
Where does Mini Chacko, NNP practice?
The practice location is 94 Old Short Hills RD, Livingston, NJ 07039-5672. The office can be reached at 973-322-5000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467908517 directly on the NPPES registry website.