Individual provider Active NPI

Charlene Santos-Alvarez, NP

  • Women's Health Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1144844812
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421015-01 Issued in NY
Practice address
103-11 68TH Drive, Corner Office on Queens Blvd
Forest Hills, NY 11375
Phone
(718) 880-2212
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F421015-01 NY Primary

Addresses

Primary practice location

103-11 68TH Drive, Corner Office on Queens Blvd
Forest Hills, NY 11375

Mailing address

8450 169TH St Apt 502
Jamaica, NY 11432-2018
Phone (347) 651-9908

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charsantos30@hotmail.com Other

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220415000586 NY Practitioner - Nurse Practitioner 1153717301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F421015-01NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Abayev Gynecology PC CurrentSince Mar 1, 2022 Accepting new patients

Locations

10311 68th Dr
Forest Hills, NY 11375
Phone (347) 642-5315

10311 68th Dr
Ofc On
Forest Hills, NY 11375
Phone (718) 880-2212

9033 Elmhurst Ave
Jackson Hts, NY 11372
Phone (718) 457-7000

3141 45th St
Long Island City, NY 11103
Phone (718) 274-2600

8615 Forest Pkwy
Woodhaven, NY 11421
Phone (212) 748-9147

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1144844812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 169TH ST APT 502",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322018",
            "telephone_number": "347-651-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103-11 68TH DRIVE, CORNER OFFICE ON QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-880-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-ALVAREZ",
        "first_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421015-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charsantos30@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Work.",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8450 169th St Apt 502",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114322018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.