Organization Active NPI

Charles H. Thorne MD PLLC

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1073107314
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
CHARLES H. THORNE MD PLLC
Practice address
812 Park Ave Apt 1a
New York, NY 10021-2770
Phone
(212) 794-0044
Fax
(212) 772-1326
NPI assigned
Feb 26, 2021
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Charles H Thorne, MDNPI 1619027216
Title
Owner
Phone
(212) 794-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

812 Park Ave Apt 1a
New York, NY 10021-2770

Mailing address

812 Park Ave Apt 1a
New York, NY 10021-2770
Phone (212) 794-0044

Other practice location 1

812 Park Ave Ofc 1B
New York, NY 10021-2770
Phone (212) 794-0044

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1073107314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 PARK AVE APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212770",
            "telephone_number": "212-794-0044",
            "fax_number": "212-772-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 PARK AVE APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212770",
            "telephone_number": "212-794-0044",
            "fax_number": "212-772-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Park Ave Ofc 1B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212770",
            "country_code": "US",
            "telephone_number": "212-794-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLES H. THORNE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-794-0044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.