Individual provider Active NPI

Patrick Charles, DO

  • Emergency Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1295138782
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036172781 Issued in IL
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1914
Phone
(551) 996-2331
NPI assigned
Sep 29, 2014
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20190717001610 NJ Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 6 organizations
I20230717002801 VA Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 3 organizations
I20230817002036 VI Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 1 organization
I20240205003644 AZ Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 1 organization
I20240214003037 TN Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 7 organizations
I20240521001515 LA Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 2 organizations
I20250124001113 IL Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 1 organization
I20250326000920 MS Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 2 organizations
I20250628000327 PA Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 2 organizations
I20251106000165 AL Practitioner - Emergency Medicine 1557633880 Reassigns benefits to 2 organizations

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
Methodist South Emergency Physicians, PLLCGroup PAC ID 6406205608, 48 clinicians
Geisinger ClinicGroup PAC ID 5395657001, shared by 7 NPIs, 3,432 clinicians
Bear Creek Emergency Group LLCGroup PAC ID 8820587629, 33 clinicians
Methodist North Emergency Physicians, PLLCGroup PAC ID 0941659247, 43 clinicians
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians
Olive Branch Emergency Physicians LLCGroup PAC ID 9335598739, 27 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75.12 of 100Reported as group
Quality
64.75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
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

LicenseStateTypeSpecialty
5363TNMDProfessional Counselor
288654NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 15, 2024 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Nov 27, 2023 Accepting new patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Mar 13, 2024 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Jan 15, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 25, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 25, 2019 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Ihpnj ER LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Feb 18, 2026 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 1, 2023 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Jan 22, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Feb 18, 2026 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Sep 15, 2022 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Jul 25, 2025 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 15, 2024 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince May 1, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 15, 2024 Accepting new patients
Olive Branch Emergency Physicians LLC Emergency Medicine CurrentSince Mar 5, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 27, 2023 Accepting new patients
Bear Creek Emergency Group LLC Emergency Medicine CurrentSince Jan 18, 2026 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 15, 2024 Accepting new patients
Geisinger Clinic CurrentSince May 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2023 Accepting new patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 5, 2024 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Nov 27, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 22, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 27, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: patrick.charles@direct.hackensackmeridian.org
  • Direct secure messaging: 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.

View all 35

Hospital & facility affiliations 16

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

View all 16

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

Verify at the official NPI Registry.