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Active NPI 1609247063 Individual Practitioner Male Practitioner

Shobin Chacko , PA-C

Physician Assistant • Bronx, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shobin Chacko, PA-C is a certified Physician Assistant practicing in Bronx, NY. With approximately 11 years of clinical experience since completing medical education in 2015, Shobin Chacko delivers high-quality medical care to the local community at 1825 EASTCHESTER RD.

Shobin Chacko is affiliated with New York Society For The Relief Of Ruptured And Crippled Maintaining and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1825 Eastchester Rd

Bronx, NY 104612301

Telephone 7189042000
Associated Practice Facility / Clinic
🏢 Amy Kesselman Facility NPI 1730204868

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bronx, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +0.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1033 Specialists

Practicing in Bronx, NY (15701 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chacko (11 Years) 11 Yrs
Bronx Specialty Average (10.3 Years) 10.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 019190-1

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

New York Society For The Relief Of Ruptured And Crippled Maintaining

535 E 70th St, New York, NY 100214823

Phone: 2127747598

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Zaphin Varghese

Physician Assistant - Medical

NPI 1003247735
Kira Page

Student in an Organized Health Care Education/Training Program

NPI 1003757105
Jordan Werst , PA

Physician Assistant

NPI 1013651413

Physician Assistant

Dr. Kiana Cruz , MD

Student in an Organized Health Care Education/Training Program

NPI 1013706787

Doctor of Medicine (M.D.)

Dr. Ahmed Saad , MD

Emergency Medicine

NPI 1043941081

Doctor of Medicine (M.D.)

Michele Giaccio , APRN

Nurse Practitioner - Pediatrics

NPI 1053605337

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active June 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2017

Registered at 1825 EASTCHESTER RD, BRONX, NY 104612301 (Tel: 7189042000)

📍
Updated Business Mailing Address June 24, 2017

Registered at 24 MONROVIA BLVD, TUCKAHOE, NY 107071024

👤
Provider Name / Credentials Updated June 24, 2017

Recorded as SHOBIN CHACKO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2017

Physician Assistant (License #019190-1 in NY)

NPI Profile Active October 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2015

Registered at 1825 EASTCHESTER RD, BRONX, NY 104612301 (Tel: 7189042000)

📍
Updated Business Mailing Address October 20, 2015

Registered at 24 MONROVIA BLVD, TUCKAHOE, NY 107071024

👤
Provider Name / Credentials Updated October 20, 2015

Recorded as SHOBIN CHACKO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2015

Physician Assistant (License #019190-1 in NY)

🟢
Initial NPI Registration & Enumeration October 12, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609247063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2015
Last Update: April 02, 2021
Sole Proprietor: Yes

Mailing Address

24 Monrovia Blvd

Tuckahoe, NY 107071024

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.