Active NPI
Jennifer Chouchani, P.A.
- Medical Physician Assistant
- Depew, NY
National Provider Identifier
1710285689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 014611
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
Practice addresses (Care Compare)
20 Losson Rd
Suite 105
Cheektowaga, NY 14227-2379
Phone (716) 558-7727
Hospital & facility affiliations
- Sisters of Charity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014611 | NY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muncie Allergy Center. P.S.C. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Cheektowaga, NY
- NPI 1003806746
NY
-
- Allergy & Immunology Physician
- Muncie, IN
- NPI 1295857621
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
Hospital
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
Hospital
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
- Catholic Health System Infusion Pharmacy,Inc
- Lauren Elizabeth Chaffey, PA-C
- Melissa Chamberlin
- Chelikani P. Varma, MD
- Chester J. Gary, DDS and Mark D. Powalski, DDS, PC
- Kathleen Ann Christie, M.S. P.T.
- Cichocki & Cichocki, LLP
- Jason D Cichocki, CICHOPRACTOR
- Grace I. Clark-Burch, LCSW-R
- Denise J Clark-Voelker, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.