Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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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
Mailing address24 Monrovia Blvd, Tuckahoe, NY 10707-1024

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

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