Charlene Chao, MD, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

243672 Issued in MA

Legal business name

CHARLENE CHAO, MD, PLLC

Practice address

802 64TH Street
Ste 2F
Brooklyn, NY 11220-5573

Phone

(718) 833-2699

Fax

(718) 833-2667

NPI assigned

Feb 15, 2013

Organization subpart

No

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

Authorized official

Name

Charlene Chao, MDNPI 1396756219

Title

Owner

Phone

(718) 833-2699

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: nanny.morales@vantagehealth.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlene Zhiyi Chao, MD

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1396756219
  Medicare reassignment NPD Authorized official
• Nissage Cadet, M.D.

  • Surgery Physician
  • Beloit, WI
  • NPI 1528144235
  NPD (past)

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1275873085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 64TH STREET",
            "address_2": "STE 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205573",
            "telephone_number": "718-833-2699",
            "fax_number": "718-833-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 64TH STREET",
            "address_2": "STE 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205573",
            "telephone_number": "718-833-2699",
            "fax_number": "718-833-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Dorchester Ave",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021245615",
            "country_code": "US",
            "telephone_number": "617-298-1166",
            "fax_number": "617-296-1427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLENE CHAO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2024-12-23",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-833-2699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "243672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07813298",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396756219",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nanny.morales@vantagehealth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "802 64th St Fl 2",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112204730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ragini Chari, MD
• Charis Theracare Inc
• Jemima Charitable, LMSW
• John F Charitable, M.D.
• Charleen' S Stroke Care Fund
• Faye Charlery
• Charles Bigajer & Robert S Tracer MD PLLC
• Charles Chang DDS PC
• Patrice Charles Cordner
• Charles E Morris

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.