JUSTINE JOHN
NPI 1629645114
Social Worker in Glen Oaks, NY

Q: What is Justine John's NPI number?

The NPI number for Justine John is 1629645114. It was assigned to this individual provider in the NPPES registry on June 4, 2021. The provider is also known as Justine Chacko.

Q: What is Justine John's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Justine John was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2021PECOS EnrolledAccepts Medicare Assignment

7559 263RD ST, GLEN OAKS, NY 11004(718) 470-8014 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Justine John NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTINE JOHN (NPI 1629645114) is an individual social worker in Glen Oaks, New York and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629645114

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJUSTINE JOHN

Location Address7559 263RD STGlen Oaks, NY 11004-1150

Mailing Address544 Larch LnEast Meadow, NY 11554-3729 · (516) 474-4639

Phone(718) 470-8014

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 4, 2021

NPPES CertifiedJune 4, 2021

✔ NPI 1629645114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

7559 263RD ST, Glen Oaks, NY 11004

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Other Names 1

Former Name (1)Justine Chacko

Other Identifiers 1

Medicaid516718347NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justine John is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577056415

PECOS Enrollment IDI20251201000493

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVRELIYA SHAPIRO M.D.

Psychiatry & Neurology (Psychiatry)