Jacqueline Chasko, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9116454 Issued in FL

Practice address

5333 N Dixie Hwy Ste 109
Oakland Park, FL 33334-3453

Phone

(954) 717-1919

NPI assigned

Oct 10, 2022

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

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  • Weston, FL
  • NPI 1467976951
  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1336864636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N OCEAN BLVD APT 10A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333053703",
            "telephone_number": "407-353-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY STE 109",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343453",
            "telephone_number": "954-717-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASKO",
        "first_name": "JACQUELINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9116454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh T Chang, PHARMD.
• Diane Chapman, LMT
• Charles Aiesi Consulting. Inc. (Broward Medical Lab)
• Kamila Charles
• Yvrose Charles, LAC
• Luis Guillermo Chaves Villamil, M.D.
• Georgette Chedra
• Chen Neighborhood Medical Centers of South Florida, LLC (Chen Neighborhood Medical Oakland Park)
• Jessica Elizabeth Chen, M.D.
• Celanie Ricardine Chenet, LMHC

• Physician Assistant in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.