Charlsie Khalisha Celestine, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

25MA09840000 Issued in NJ

Practice address

319 US Highway 130 Ste 29D
East Windsor, NJ 08520-2735

Phone

(609) 607-6600

Fax

(609) 371-0346

NPI assigned

Aug 27, 2013

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

West Virginia University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Bergen Health PCGroup PAC ID 2062916810, 14 clinicians

Bergen County Improvement AuthorityGroup PAC ID 9032104047, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccelestine409046@direct.ahsys.org

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.

• Bergen County Improvement Authority

  dba Bergen New Bridge Medical Center Medical Provider Group

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1891836441
  Medicare reassignment Care Compare group NPD
• One Bergen Health PC

  • Internal Medicine Physician
  • Bergenfield, NJ
  • NPI 1508753492
  Medicare reassignment Care Compare group NPD
• Bergen County Improvement Authority

  dba Bergen New Bridge Medical Center

  • Psychiatric Hospital Unit
  • Paramus, NJ
  • NPI 1952456295
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bergen County Improvement Authority

  dba Bergen New Bridge Medical Center

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1689682999
  Care Compare affiliation

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1104250117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 US HIGHWAY 130 STE 29D",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202735",
            "telephone_number": "609-607-6600",
            "fax_number": "609-371-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 US HIGHWAY 130 STE 29D",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202735",
            "telephone_number": "609-607-6600",
            "fax_number": "609-371-0346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Hills Plz",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253872438",
            "country_code": "US",
            "telephone_number": "304-720-4466",
            "fax_number": "304-720-4821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Kanawha Ter",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "WV",
            "postal_code": "251772750",
            "country_code": "US",
            "telephone_number": "304-201-1130",
            "fax_number": "304-201-1134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Great Teays Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609816",
            "country_code": "US",
            "telephone_number": "304-757-6999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Bunn Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401968",
            "country_code": "US",
            "telephone_number": "609-246-5541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELESTINE",
        "first_name": "CHARLSIE",
        "middle_name": "KHALISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "27031",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA09840000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104250117",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph J Carlisi
• Linda Mercy Carlson-Scholer, LCSW
• Jessica Carpenter, MD
• Cassandra Maria Carr
• Catholic Charities, Diocese of Trenton (Family Access Center)
• Central Jersey Oncology Center, PA
• Centralnjrd (Central NJRD LLC.)
• John Frederick Chambliss, MS PAC
• Catherine Chan, RD
• Stacy Erica Chapnick, PA-C

• Gynecology Physician in East Windsor, NJ
• Providers in East Windsor, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.