Jason Eric Chacker, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA053242 Issued in PA

Practice address

735 Davisville Rd
Southampton, PA 18966-3282

Phone

(215) 396-4227

NPI assigned

Nov 28, 2007

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

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.

• Capital Health Primary Care Pennington

  • Internal Medicine Physician
  • Pennington, NJ
  • NPI 1639472525
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1609058916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 APPLETREE LN",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803022",
            "telephone_number": "215-396-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 DAVISVILLE RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663282",
            "telephone_number": "215-396-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKER",
        "first_name": "JASON",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053242",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00215900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kali Carrara, PSY.D.
• Catherine Douglas Carruthers, M.D.
• Maryann Elizabeth Ceglio, D.P.M.
• Lucy Ann Centafont, OTRL
• Center for Creative Human Performance, LLC
• Chaset, PC
• Jency Cheriyan
• Child & Family Focus Inc
• Byoung-Kwon Chin, M.D.
• Angela Yolonda China, LBS, MHS

• Medical Physician Assistant in Southampton, PA
• Providers in Southampton, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.