Active NPI
Carlos a Charles MD PC
Doing business as Derma di Colore
- Dermatology Physician
- New York, NY
National Provider Identifier
1144574500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 220104
- Legal business name
- CARLOS A CHARLES MD PC
- Doing business as
- Derma di Colore
- Practice address
- 115 W 27TH St
Suite 1001
New York, NY 10001-6217 - Phone
- (347) 889-5413
- NPI assigned
- Nov 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carlos A Charles, MD
- Title
- Owner
- Phone
- (217) 889-5413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 220104 | NY | Primary |
Addresses
Primary practice location
115 W 27TH St
Suite 1001
New York, NY 10001-6217
Mailing address
115 W 27TH St
Suite 1001
New York, NY 10001-6217
Phone (347) 889-5413
Other names 1
- Derma di Colore
National Provider Directory
National Provider DirectoryLocations
115 W 27th St
Ste 1001
New York, NY 10001
Phone (212) 243-6700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- New York, NY
- NPI 1679755334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416441600000",
"number": "1144574500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W 27TH ST",
"address_2": "SUITE 1001",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016217",
"telephone_number": "347-889-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W 27TH ST",
"address_2": "SUITE 1001",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016217",
"telephone_number": "347-889-5413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS A CHARLES MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2014-11-20",
"status": "A",
"authorized_official_last_name": "CHARLES",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-889-5413",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NY",
"license": "220104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Derma di Colore",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.