Individual provider Active NPI

Julia Rebekah Theodora Chachere, NP, CNM

  • Women's Health Nurse Practitioner
  • Cutchogue, NY
National Provider Identifier
1033267174
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420821 Issued in NY
Practice address
North Fork Family Practice
32845 Main Road
Cutchogue, NY 11935
Phone
(631) 405-3235
Fax
(631) 259-0298
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001238-1 NY
Midwife 176B00000X F001238 NY
Women's Health Nurse Practitioner 363LW0102X F420821 NY Primary

Addresses

Primary practice location

North Fork Family Practice
32845 Main Road
Cutchogue, NY 11935

Mailing address

Peconic Bay Primary Care
P.O. Box 2377
Riverhead, NY 11901
Phone (631) 298-4479

Other identifiers 1

IdentifierTypeStateIssuer
02912783MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141008002201 NY Practitioner - Certified Nurse Midwife (CNM) 2961598297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
State University of New York at Buffalo School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

31 Main Rd
Riverhead, NY 11901-1953
Phone (631) 369-8539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
001238NYMDMarriage & Family Therapist
F001238NYMDMidwife
F001238-1NYMDMidwife
F420821NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 3, 2021 Accepting new patients
Brookdale Family Care Center, Inc. Past Accepting new patients

Locations

230 Main St
Greenport, NY 11944
Phone (631) 477-6121

191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144

300 Community Dr
Plandome, NY 11030

31 Main Rd
Ste 2
Riverhead, NY 11901
Phone (631) 369-8539

31 Main Rd
Riverhead, NY 11901
Phone (631) 727-6308

31 Main Rd
Ste 7
Riverhead, NY 11901
Phone (631) 591-7400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: julia.chachere@hrh.eclinicaldirectplus.com
  • Direct secure messaging: jchachere56108@northwell.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1033267174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PECONIC BAY PRIMARY CARE",
            "address_2": "P.O. BOX 2377",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-298-4479",
            "fax_number": "631-259-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH FORK FAMILY PRACTICE",
            "address_2": "32845 MAIN ROAD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "11935",
            "telephone_number": "631-405-3235",
            "fax_number": "631-259-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACHERE",
        "first_name": "JULIA",
        "middle_name": "REBEKAH THEODORA",
        "name_prefix": "Ms.",
        "credential": "NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001238-1",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001238",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02912783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutchogue, NY

Sources for this page

Verify at the official NPI Registry.