Anisha Sara Chacko, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347205 Issued in NY

Practice address

55 2ND Ave Unit 2
Brentwood, NY 11717-4665

Phone

(631) 983-3237

Fax

(631) 961-8775

NPI assigned

Nov 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Anisha Sara Chacko Other name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alexios Apazidis MD PCGroup PAC ID 3375840036, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

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.

• Alexios Apazidis, M.D., PC

  • Orthopaedic Surgery of the Spine Physician
  • Brooklyn, NY
  • NPI 1245607126
  Medicare reassignment Care Compare group NPD
• Station Care NP in Adult Health PC

  • Adult Health Nurse Practitioner
  • Brentwood, NY
  • NPI 1801605761
  NPD

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1891452959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503651",
            "telephone_number": "516-559-7880",
            "fax_number": "929-481-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 2ND AVE UNIT 2",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174665",
            "telephone_number": "631-983-3237",
            "fax_number": "631-961-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "ANISHA",
        "middle_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANISHA",
            "last_name": "CHACKO",
            "middle_name": "SARA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alan Cazaurang
• Maritza Anthonia Celestrin
• Central Island Chiropractic, P.C.
• Central Nassau Guidance and Counseling Services, Inc.
• Central Suffolk Spine & Sports Chiropractic
• Avisha Nicole Chadee, RN
• Kavita Chadee, RN
• Usha Chadee
• Kate Therese Chan
• Shanti Kumari Chand

• Family Nurse Practitioner in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.

Verify at the official NPI Registry.