Individual provider Active NPI

Binu Chacko, M.D.

  • Psychiatry Physician
  • Jericho, NY
National Provider Identifier
1265728398
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
261487 Issued in NY
Practice address
366 N Broadway Ste PH-E1
Jericho, NY 11753-2025
Phone
(424) 242-2568
Fax
(516) 879-3099
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 261487 NY Primary

Addresses

Primary practice location

366 N Broadway Ste PH-E1
Jericho, NY 11753-2025

Mailing address

366 N Broadway Ste PH-E1
Jericho, NY 11753-2025
Phone (424) 242-2568

Other practice location 1

52 Route 25A
Smithtown, NY 11787-1346
Phone (424) 242-2568

Other names 1

  • Binu Chacko MD PC Professional name

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028000453 NY Practitioner - Psychiatry 8224263355 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

366 N Broadway
Suite Phe1
Jericho, NY 11753-2025
Phone (424) 242-2568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Binu Chacko MD PC Psychiatry CurrentSince Aug 12, 2025 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Jun 12, 2018 Accepting new patients
John T. Mather Memorial Hospital Psychiatry CurrentSince Jun 12, 2018 Accepting new patients
Genoa Healthcare LLC Past Accepting new patients

Locations

366 N Broadway
Ste PHE1
Jericho, NY 11753
Phone (424) 242-2568

125 Oakland Ave
Ste 303
Port Jefferson, NY 11777
Phone (631) 729-2140

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

52 Route 25A
Smithtown, NY 11787
Phone (631) 617-5250

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1265728398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY STE PH-E1",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532025",
            "telephone_number": "424-242-2568",
            "fax_number": "516-879-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY STE PH-E1",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532025",
            "telephone_number": "424-242-2568",
            "fax_number": "516-879-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Route 25A",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117871346",
            "country_code": "US",
            "telephone_number": "424-242-2568",
            "fax_number": "888-375-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "BINU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "261487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BINU",
            "last_name": "CHACKO MD PC",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.