NINA M CHACKO, PA-C, Medical NEPTUNE CITY, NJ

Contact Information

NINA M CHACKO, PA-C

1532 CORLIES AVE
NEPTUNE CITY, NJ 07753-4904

Phone: 732-775-8400
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for NINA M CHACKO · (Female)

NPI Number	`1558703744`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	07/29/2013
Last updated	07/29/2013 - About 13 years ago
Sole proprietor ¹	No
Identifiers	NJ License # 25MP00312000
Hospital affiliation(s)	JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care) 1945 RTE 33 NEPTUNE, NJ 07754

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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NINA M CHACKO, PA-C – NPI #1558703744Medical

Contact Information

Specialty

Medical

NPI Profile & details for NINA M CHACKO · (Female)

Reviews for NINA M CHACKO

NINA M CHACKO, PA-C – NPI #1558703744
Medical