Individual provider Active NPI

Jennifer Chouchani, P.A.

  • Medical Physician Assistant
  • Depew, NY
National Provider Identifier
1710285689
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
014611 Issued in NY
Practice address
5007 Transit Rd
Depew, NY 14043-4617
Phone
(716) 650-5516
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014611 NY Primary

Addresses

Primary practice location

5007 Transit Rd
Depew, NY 14043-4617

Mailing address

PO Box 248
Ellicottville, NY 14731-0248
Phone (716) 699-9032

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000028 NY Practitioner - Physician Assistant 1254515281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Primary Care Physicians PLLCGroup PAC ID 0244225480, 6 clinicians

Practice addresses (Care Compare)

20 Losson Rd
Suite 105
Cheektowaga, NY 14227-2379
Phone (716) 558-7727

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014611NYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Muncie Allergy Center. P.S.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jchouchani@ppcp.medentdirect.com

Organizations & group practices 4

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 2

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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1710285689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147310248",
            "telephone_number": "716-699-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434617",
            "telephone_number": "716-650-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUCHANI",
        "first_name": "JENNIFER",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

Verify at the official NPI Registry.