Individual provider Active NPI

Irine Chacko

  • Speech-Language Pathologist
  • East Meadow, NY
National Provider Identifier
1669907549
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
026600 Issued in NY
Practice address
1530 Front St
East Meadow, NY 11554-2265
Phone
(516) 324-7500
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 026600 NY Primary

Addresses

Primary practice location

1530 Front St
East Meadow, NY 11554-2265

Mailing address

5 Bethany Dr
Commack, NY 11725-1608
Phone (516) 754-0704

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irine.chacko@nyulangone.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707000384 NY Practitioner - Qualified Speech Language Pathologist 4284903287 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1530 Front St
East Meadow, NY 11554-2265
Phone (516) 324-7500

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Center for Speech, Language & Swallowing Disorders Speech-Language Pathologist CurrentSince Jun 12, 2017 Accepting new patients
New York University CurrentSince Mar 22, 2021 Accepting new patients
North Shore Center for Speech, Language & Swallowing Disorders LLP CurrentSince Jun 12, 2017 Accepting new patients
New York University CurrentSince Mar 22, 2021 Accepting new patients
Ny Speech Pathology Consultants, P.C. Speech-Language Pathologist CurrentSince Sep 27, 2019 Accepting new patients

Locations

1530 Front St
East Meadow, NY 11554
Phone (516) 324-7500

585 Stewart Ave
Ste 310
Garden City, NY 11530
Phone (212) 604-9360

77 Route 112
Patchogue, NY 11772
Phone (631) 207-2370

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

877 E Main St
Ste 106
Riverhead, NY 11901
Phone (631) 727-0660

1400 Old Country Rd
Ste 308
Westbury, NY 11590
Phone (516) 993-6230

Networks

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

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1669907549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BETHANY DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251608",
            "telephone_number": "516-754-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542265",
            "telephone_number": "516-324-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "IRINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irine.chacko@nyulangone.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 Front St",
            "city": "East Meadow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115542265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.