Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYSTY CHACKO, PA-C
ActiveMYSTY CHACKO, PA-C is a Physician Assistant healthcare provider located in MOORESTOWN, New Jersey. NPI 1669003745 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOORESTOWN, NJ
Registration Details
- NPI Number
- 1669003745
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2020 (6.5165102839186 yrs)
- Last Updated
- Aug 7, 2024
- Licenses
-
MA061392 (PA)25MP00866300 (NJ)
Practice Information
- Address
-
400 W ROUTE 38MOORESTOWN, NJ, 080573219Browse NJ providers · Browse ZIP 08057
- Phone
- 8562704000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MOORESTOWN, NJ
| Name | Credential | NPI |
|---|---|---|
| ALAN HOLLANDER | PA-C | 1639165632 |
| MRS. LAURA AMANDA PINO | MS, PA-C | 1023094794 |
| NICOLE RILEY | P.A., C. | 1730129974 |
| ERIN WOLF | P.A., C. | 1508806860 |
| KRISTEN LEHMANN | PA-C | 1023058781 |
| CARLA A. PIANKA | PA-C | 1972693661 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.