JENNY PHILIP CHACKO


Address: 1000 10th Ave, New York, NY 10019-1147
Phone: 2125234000

JENNY PHILIP CHACKO (NPI# 1740767185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740767185
Entity Type Individual
Full Name JENNY PHILIP CHACKO
Credential AGPCNP-BC
Practice Address 1000 10th Ave
New York
NY 10019-1147
Practice Telephone 2125234000
Enumeration Date 2018-07-27
Last Update Date 2018-07-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
F308580 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1000 10TH AVE
City NEW YORK
State NY
Zip Code 10019-1147

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043219157 Elizabeth Ames Pathology 1000 10th Ave, New York, NY 10019-1147 2005-07-20
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1629678917 Neilkamal Mundi Student in an Organized Health Care Education/Training Program 1000 10th Ave, New York, NY 10019-1147 2020-10-27
1699374041 Shabari Mangalore Shenoy Student in an Organized Health Care Education/Training Program 1000 10th Ave, New York, NY 10019-1147 2020-10-17
1134727407 Marie Jasmin Theresia Akhlaghi Student in an Organized Health Care Education/Training Program 1000 10th Ave, New York, NY 10019-1147 2020-10-09
1811595119 Jeeyune Bahk Internal Medicine 1000 10th Ave, New York, NY 10019-1147 2020-10-09
1053918102 Juan Francisco Vasquez Mendez Student in an Organized Health Care Education/Training Program 1000 10th Ave, New York, NY 10019-1147 2020-10-01
1891302766 Mantej Singh Sehmbhi Student in an Organized Health Care Education/Training Program 1000 10th Ave, New York, NY 10019-1147 2020-09-25
1356957245 Rohit Rajesh Nathani Student in an Organized Health Care Education/Training Program 1000 10th Ave, New York, NY 10019-1147 2020-09-16
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1144882499 Tomohiro Fujisaki Student in an Organized Health Care Education/Training Program 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 2019-07-07
1558823070 Nazanin Khajoueinejad Student in an Organized Health Care Education/Training Program 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 2019-04-03
1356801153 Nicholas Theodoropoulos Student in an Organized Health Care Education/Training Program 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 2019-03-20
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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