Individual provider Active NPI

Charalampos Chatzicharalampous, MD, PHD

  • Reproductive Endocrinology Physician
  • New York, NY
National Provider Identifier
1053714410
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
278684 Issued in NY
Practice address
65 Broadway FL 14
New York, NY 10006-2516
Phone
(212) 348-4000
Fax
(212) 348-4001
NPI assigned
Sep 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 278684 NY
Obstetrics & Gynecology Physician 207V00000X 278684 NY
Reproductive Endocrinology Physician 207VE0102X 278684 NY Primary

Addresses

Primary practice location

65 Broadway FL 14
New York, NY 10006-2516

Mailing address

65 Broadway FL 14
New York, NY 10006-2516
Phone (212) 348-4000

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205000907 NY Practitioner - Obstetrics/Gynecology 3072893247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
278684NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Related Surgical Specialties, PC CurrentSince Oct 2, 2025 Accepting new patients
Related Surgical Specialties, PC CurrentSince Oct 2, 2025 Accepting new patients
Surgical Specialists of Greater Ny LLP PastSince Nov 5, 2025 Accepting new patients

Locations

65 Broadway
Fl 14
New York, NY 10006
Phone (212) 348-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1053714410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BROADWAY FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062516",
            "telephone_number": "212-348-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BROADWAY FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062516",
            "telephone_number": "212-348-4000",
            "fax_number": "212-348-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATZICHARALAMPOUS",
        "first_name": "CHARALAMPOS",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NY",
            "license": "278684",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "278684",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "278684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.