Active NPI
Patrick Charles, DO
- Emergency Medicine Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036172781
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1914 - Phone
- (551) 996-2331
- NPI assigned
- Sep 29, 2014
- Last updated
- Jan 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MB10313500 | NJ | |
| Emergency Medicine Physician | 207P00000X | 036172781 | IL | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1914
Mailing address
5665 Kennedy Blvd
Apt 337
North Bergen, NJ 07047-3223
Phone (516) 428-1219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, VA, VI, AZ, TN, LA, IL, MS, PA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-3700
1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-7355
2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000
3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200
400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330
4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000
Hospital & facility affiliations
- Methodist Healthcare - Olive Branch Hospital
- Baptist Medical Center East
- Thibodaux Regional Medical Center
- Methodist Hospitals of Memphis
- Geisinger-Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.12 of 100
- Quality
- 64.75
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5363 | TN | MD | Professional Counselor |
| 288654 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist University Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Nes Georgia Inc | Emergency Medicine | Current | Accepting new patients |
| Highland Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Mep Health, LLC | Emergency Medicine | Current | Accepting new patients |
| Small Hospital Innovations LLC | Emergency Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Ihpnj ER LLC | Emergency Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Primary Care PC | Family Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Western Virginia Regional Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Northwest HBP Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Germantown Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Montgomery PC | Emergency Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Methodist South Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Olive Branch Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Bear Creek Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Methodist North Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Putnam Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Nes Georgia Inc | Emergency Medicine | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Meridian Medical Group - Specialty Care, PC | Family Medicine | Past | Accepting new patients |
Locations (25 of 36)
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
100 N Academy Ave
Danville, PA 17822
1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351
675 Baltimore Dr
Wilkes Barre, PA 18702
Phone (570) 808-5757
5150 Airline Rd
Arlington, TN 38002
Phone (865) 985-7047
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- patrick.charles@direct.hackensackmeridian.org
- pcharles82760@mlh.direct-ci.com
Organizations & group practices 35
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.
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1750252623
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1801677083
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1609657873
-
- Emergency Medicine Physician
- Olive Branch, MS
- NPI 1730969734
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
dba HMHMG Primary Care
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Emergency Medicine Physician
- Hoboken, NJ
- NPI 1225750946
-
- Emergency Medicine Physician
- Elizabeth, NJ
- NPI 1043616675
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Cardiology Scranton, A service of GCMC
- Clinic/Center
- Scranton, PA
- NPI 1285032128
Hospital
-
dba Geisinger Community Medical Center
- Endocrinology, Diabetes & Metabolism Physician
- Scranton, PA
- NPI 1306439856
Hospital
-
dba Geisinger Community Medical Center
- General Acute Care Hospital
- Scranton, PA
- NPI 1366444507
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1972652063
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1467850149
Hospital
-
- Radiology Clinic/Center
- Scranton, PA
- NPI 1548648272
Hospital
-
- Radiology Clinic/Center
- Scranton, PA
- NPI 1124405592
Hospital
-
- Physical Therapy Clinic/Center
- Scranton, PA
- NPI 1336526276
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Scranton, PA
- NPI 1417334350
Hospital
-
dba Baptist Medical Center East
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1295138782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 KENNEDY BLVD",
"address_2": "APT 337",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070473223",
"telephone_number": "516-428-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011914",
"telephone_number": "551-996-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "PATRICK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-29",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB10313500",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036172781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.