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SHANNON CHALICH
NPI 1770241002
Physician Assistant - Medical in New York, NY

Active since December 03, 2021PECOS Enrolled
225 BROADWAY STE 1605, NEW YORK, NY 10007(212) 693-4010 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2023, Dec 3, 2021 (2 updates tracked since 2021).

About Shannon Chalich NPPES

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

SHANNON CHALICH (NPI 1770241002) is an individual medical provider in New York, New York and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770241002
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON CHALICH
Location Address225 BROADWAY STE 1605New York, NY 10007-3756
Mailing Address225 Broadway Ste 1605New York, NY 10007-3756
Phone(212) 693-4010
Sole ProprietorNo
Enumeration DateDecember 3, 2021
Last NPPES UpdateFebruary 10, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
✔ NPI 1770241002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
225 BROADWAY STE 1605, New York, NY 10007
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Chalich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 15

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

YEVGENIYA KUPERSHTEYN LMSW
Social Worker (Clinical)
225 BROADWAY STE 1605
NEW YORK, NY 10007
New York County (212) 693-4010
ANNA SAVINA-POGREBIZHSKIY
Social Worker (Clinical)
225 BROADWAY STE 1605
NEW YORK, NY 10007
New York County (212) 693-4010
AUSTIN NEWMAN HODGES MHC
Counselor (Mental Health)
225 BROADWAY STE 1605
NEW YORK, NY 10007
New York County (212) 693-4010
ELIZABETH SEOHYUN KIM LMSW
Social Worker
225 BROADWAY STE 1605
NEW YORK, NY 10007
New York County (212) 693-4010
RUBEENA NAZ IANIGRO LMSW
Social Worker
225 BROADWAY STE 1605
NEW YORK, NY 10007
New York County (212) 693-4010
RACHEL REMES
Social Worker
225 BROADWAY STE 1605
NEW YORK, NY 10007
New York County (212) 693-4010
MURIEL ANN RADOCCHIO LCSW
Social Worker (Clinical)
225 BROADWAY STE 1605
NEW YORK, NY 10007
New York County (212) 693-4010
RACHEL ESTHER MAIZEL LCSW
Social Worker (Clinical)
225 BROADWAY STE 1605
NEW YORK, NY 10007
New York County (212) 693-4010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Chalich's NPI number?

The NPI number for Shannon Chalich is 1770241002. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Shannon Chalich located?

Shannon Chalich practices at 225 Broadway Ste 1605, New York, NY 10007. The listed phone number is (212) 693-4010.

What is Shannon Chalich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shannon Chalich enrolled in Medicare?

Yes. Shannon Chalich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Chalich was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.