BENITO CHACHO – Occupational Therapist, NPI 1053987115

BENITO CHACHO is a healthcare provider. based in Cherry hill, New Jersey. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 025678 (NY). The NPI Number for BENITO CHACHO is 1053987115

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BENITO CHACHO
NPI
1053987115
Phone
(877) 407-3422
Address
7 CARNEGIE PLZ
Enumeration Date
31 May 2021
Last Update Date
31 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034561010
Graduation Year
2020 (6 years ago)
PAC ID
6507260379
Group Practice PAC ID
8325203649
Professional Enrollment ID
I20250205003234
Address ID
CT068042505BR3XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,729 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NY

Provider Addresses for BENITO CHACHO

  • 7 CARNEGIE PLZ

    CHERRY HILL, NJ 080031000

    Phone: (877) 407-3422

    Type: Mailing

  • 1415 RICHMOND AVE

    STATEN ISLAND, NY 103141553

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250205003234IOccupational Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325203649View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeLA
Qualified Speech Language PathologistCT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

What NPI should I save for BENITO CHACHO?
Save NPI 1053987115 if you need a stable reference for BENITO CHACHO.
Is BENITO CHACHO's NPI currently valid?
The extract we use shows BENITO CHACHO as active.
Does BENITO CHACHO list a primary specialty?
If you are matching referrals, note Occupational Therapist for BENITO CHACHO. Clinical services aligned with this taxonomy classification.
Does BENITO CHACHO practice in New Jersey?
You will see Cherry Hill, New Jersey on file for BENITO CHACHO alongside any extra practice locations.
What if Cherry Hill, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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