Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shobin Chacko, PA-C

Individual provider Physician Assistant · NPI 1609247063

Shobin Chacko, PA-C is a Physician Assistant in Bronx, New York. Qualified in 2015, 11 years ago. Practices with New York Society for the Relief of Ruptured and Crippled Maintaining, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1825 Eastchester Rd
Bronx, NY 10461-2301
Phone: (718) 904-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019190-1 (NY)

Record details

NPI number1609247063
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 12, 2015
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New York Society For The Relief Of Ruptured And Crippled Maintaining — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at New York Society for the Relief of Ruptured and Crippled Maintaining

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 115 clinicians in the practice; 12 are shown here.

Other providers in Bronx