Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ann E Chemmanoor, PA

Individual provider Medical Physician Assistant · NPI 1871623728

Ann E Chemmanoor, PA is a Physician Assistant in New York, New York. Qualified in 2002, 24 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
24
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1345 Avenue Of The Americas Fl 8
New York, NY 10105-0018
Phone: (646) 362-5683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 — (855) 624-8963

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009790 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP01021700 (NJ)

Record details

NPI number1871623728
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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