MATHEW M. CHACKO PHYSICIAN PC
NPI 1912163346
Psychiatry & Neurology - Neurology in Smithtown, NY

NPI Status: Active since August 05, 2008

Contact Information

222 E MAIN ST
SUITE 101
SMITHTOWN, NY
ZIP 11787
Phone: (631) 360-0303
Fax: (631) 360-2815

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  • Organization
  • Psychiatry & Neurology
  • Neurology

About MATHEW M. CHACKO PHYSICIAN PC

This page provides the complete NPI Profile along with additional information for Mathew M. Chacko Physician Pc, a provider established in Smithtown, New York operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1912163346 assigned on August 2008. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mathew Meloottu Chacko M.d (President)

NPI
1912163346
Provider Name
MATHEW M. CHACKO PHYSICIAN PC
Entity Type
Organization
Location Address
222 E MAIN ST SUITE 101 SMITHTOWN, NY 11787
Location Phone
(631) 360-0303
Location Fax
(631) 360-2815
Mailing Address
222 E MAIN ST SUITE 101 SMITHTOWN, NY 11787
Mailing Phone
(631) 360-0303
Mailing Fax
(631) 360-2815
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2008
Last Update Date
08-05-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MATHEW MELOOTTU CHACKO M.D

Authorized Official Title
PRESIDENT
Authorized Official Phone
(631) 360-0303

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
42D571MEDICARE PIN (08) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912163346
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292226638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 2 + 6 + 6 + 3 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1912163346 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811998412 JOHN F ROMANELLI M.D.
Individual
Ophthalmology222 E MAIN ST SUITE 330
SMITHTOWN, NY 11787
(631) 724-4488
1710917752BEACH & FOSTER PHYSICAL THERAPY, P.C.
Organization
Specialist222 E MAIN ST SUITE 340
SMITHTOWN, NY 11787
(631) 366-3025
1568493260 GREGORY J BEACH PT
Individual
Specialist222 E MAIN ST SUITE 340
SMITHTOWN, NY 11787
(631) 366-3025
1386675080 GARY L FOSTER PT
Individual
Specialist222 E MAIN ST SUITE 340
SMITHTOWN, NY 11787
(631) 366-3025
1407956907DR. MATHEW MELOOTTU CHACKO MD
Individual
Psychiatry & Neurology (Neurology)222 E MAIN ST SIUTE 101
SMITHTOWN, NY 11787
(631) 360-0303
1740378520DR. MICHAEL HERSHIPS PH.D.
Individual
Psychologist (Clinical)222 E MAIN ST SUITE 210
SMITHTOWN, NY 11787
(631) 361-9338
1871671909SEYMOUR ALTER MD
Organization
Internal Medicine222 E MAIN ST SUITE 109
SMITHTOWN, NY 11787
(631) 265-1177
1285774208DR. STEPHEN HONOR PH.D.
Individual
Specialist222 E MAIN ST SUITE 215
SMITHTOWN, NY 11787
(631) 979-6226
1104944032DERMEDX DERMATOLOGY PC
Organization
Specialist222 E MAIN ST SUITE 228
SMITHTOWN, NY 11787
(631) 265-1351
1740498427BARTON L. SCHNEYER M.D. P.L.L.C.
Organization
Internal Medicine (Pulmonary Disease)222 E MAIN ST STE 200
SMITHTOWN, NY 11787
(631) 780-9992
1487761524 RONALD BRAUN DDS
Individual
Dentist222 E MAIN ST SUITE 316
SMITHTOWN, NY 11787
(631) 724-0327
1447779186 LEANNA ROSE JENKINS MA
Individual
Speech-Language Pathologist222 E MAIN ST
SMITHTOWN, NY 11787
(631) 656-8484

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912163346, enumerated in the NPI registry as an "organization" on August 05, 2008

The provider is located at 222 E Main St Suite 101 Smithtown, Ny 11787 and the phone number is (631) 360-0303

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 05, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.