Active NPIIndividual provider

Nina M Chacko, PA-C

Physician Assistant, Medical in Neptune, New Jersey

NPI Number1558703744
Practice location
1532 Corlies Ave, Neptune, NJ 07753-4904
Fax
—
Last updated
July 29, 2013

Nina M Chacko is a Physician Assistant, Medical based in Neptune, NJ. Nina M Chacko practices in Neptune, NJ and has the professional credentials of PA-C. The NPI Number for Nina M Chacko is 1558703744 and holds a License No. 25MP00312000 (NJ). The current practice location address for Nina M Chacko is 1532 Corlies Ave, Neptune, NJ 07753-4904 and can be reached out via phone at 732-775-8400.

Provider Profile Details

NPI Number
1558703744
Provider Name
Nina M Chacko
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1532 Corlies Ave, Neptune, NJ 07753-4904
Phone Number
732-775-8400
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2013
Last Update Date
July 29, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1532 Corlies Ave
Neptune, NJ 07753-4904
Zip
07753-4904
Phone Number
732-775-8400
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
2 Clearview Drive
Ocean, NJ 07712
City
Ocean
State
NJ
Zip
07712
Phone Number
732-556-7698

License Information

License Number
25MP00312000
License State
NJ
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Nina M Chacko, PA-C?

The NPI number of Nina M Chacko, PA-C is 1558703744. It was assigned on July 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Nina M Chacko, PA-C?

Nina M Chacko, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00312000.

Where does Nina M Chacko, PA-C practice?

The practice location is 1532 Corlies Ave, Neptune, NJ 07753-4904. The office can be reached at 732-775-8400 (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 1558703744 directly on the NPPES registry website.

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