Active NPIIndividual provider

Jijin T Chacko, MD

Hospitalist in Albany, New York

NPI Number1952695421
Practice location
315 S Manning Blvd, Albany, NY 12208-1707
Fax
—
Last updated
May 12, 2021

Jijin Thomas Chacko is a Hospitalist based in Albany, NY. Jijin Thomas Chacko practices in Albany, NY and has the professional credentials of MD. The NPI Number for Jijin Thomas Chacko is 1952695421 and holds a License No. 25MA09575200 (NJ). The current practice location address for Jijin Thomas Chacko is 315 S Manning Blvd, Albany, NY 12208-1707 and can be reached out via phone at 518-525-1550.

Provider Profile Details

NPI Number
1952695421
Provider Name
Jijin Thomas Chacko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
315 S Manning Blvd, Albany, NY 12208-1707
Phone Number
518-525-1550
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2011
Last Update Date
May 12, 2021
Certification Date
May 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
315 S Manning Blvd
Albany, NY 12208-1707
City
Albany
Zip
12208-1707
Phone Number
518-525-1550
Albany, NY 12208Get directions →

Provider Business Mailing Address Details

Address
Po Box 14890
Albany, NY 12212-4890
City
Albany
State
NY
Zip
12212-4890
Phone Number
518-525-5634
Fax Number
518-649-4094

License Information

License Number (1)
25MA09575200
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
291830
License State (2)
NY
Taxonomy (2)
Hospitalist · 208M00000X · 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 Jijin T Chacko, MD?

The NPI number of Jijin T Chacko, MD is 1952695421. It was assigned on June 2, 2011 and is currently active in the NPPES registry.

What is the specialty of Jijin T Chacko, MD?

Jijin T Chacko, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in NJ under license number 25MA09575200.

Where does Jijin T Chacko, MD practice?

The practice location is 315 S Manning Blvd, Albany, NY 12208-1707. The office can be reached at 518-525-1550 (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 1952695421 directly on the NPPES registry website.

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