Doreen Mario Charly

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02741200 Issued in NJ

Practice address

75 Montgomery St FL 402
Jersey City, NJ 07302-3726

Phone

(469) 701-0851

NPI assigned

May 7, 2018

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dentiq of Englewood Cliffs

  • Dental Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1114852779
  NPD Authorized official

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1033608807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EUGENE CIR",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351502",
            "telephone_number": "832-350-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MONTGOMERY ST FL 402",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023726",
            "telephone_number": "469-701-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLY",
        "first_name": "DOREEN",
        "middle_name": "MARIO",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02741200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charissa D. Pizarro, Psy. D. Psychological Services LLC
• Charles E Connant MD PA
• Charles M Cummins, OD, PA (Visionworks Doctors of Optometry)
• Peter Lesley Charles Jr., RN
• Venante Charles, D.P.M
• Charming Smile Corp (Charming Smile Dental)
• Anjum Chatha, MD
• Aymara Chau, PHARM D
• Ayushi Chaudhari
• Hiral Chaudhari, PT

• Dentist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.