Selande Gesse Charles, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01008200 Issued in NJ

Practice address

530 Sweetland Ave
Hillside, NJ 07205-1731

Phone

(973) 715-0066

NPI assigned

Jan 21, 2020

Last updated

Mar 17, 2021By 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 NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: selande.charles.1@3830.direct.athenahealth.com

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.

• Value Based Long Term Care H PC

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  • NPI 1134951676

  NJ

  Medicare reassignment Care Compare group NPD
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  • NPI 1033861349

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  Medicare reassignment NPD
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  • Columbia, MD
  • NPI 1437930146

  Family, NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1063042836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SWEETLAND AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051731",
            "telephone_number": "973-715-0066",
            "fax_number": "908-686-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SWEETLAND AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051731",
            "telephone_number": "973-715-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SELANDE",
        "middle_name": "GESSE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01008200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floresca Burton, RN
• Care Soldiers
• Breeah Symone Carey, MS, CCC-SLP
• CGL Learning Institute LLC
• CGL Learning Institute LLC
• Yahya Choudhry
• Sabrina Clark
• Clear Mind Wellness Inc
• Community Access Unlimitd Inc
• Community Access Unlimitd Inc

• Family Nurse Practitioner in Hillside, NJ
• Providers in Hillside, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.