Individual provider Active NPI

Charles I. Hyde, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1295764876
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
051051 Issued in MA
Practice address
212 Canal St
Suite 206
New York, NY 10013-4155
Phone
(212) 349-5799
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA09020000 NJ
Diagnostic Radiology Physician 2085R0202X 051051 MA Primary

Addresses

Primary practice location

212 Canal St
Suite 206
New York, NY 10013-4155

Mailing address

72 Circuit Rd
Tuxedo Park, NY 10987-4046
Phone (617) 734-5984

Other practice location 1

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 2

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Other identifiers 1

IdentifierTypeStateIssuer
2008441MedicaidMA

Other names 1

  • Charles Ira Hyde Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050401000792 MA Practitioner - Diagnostic Radiology 0143277103 Reassigns benefits to 1 organization
I20110119001237 NY Practitioner - Diagnostic Radiology 0143277103 Reassigns benefits to 1 organization
I20160310001056 NJ Practitioner - Diagnostic Radiology 0143277103 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Howard John Simon MD PCGroup PAC ID 1658602263, 36 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Pratt Radiology Associates IncGroup PAC ID 8820989411, 53 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

3124 Cohocton Ave
Point Pleasant Boro, NJ 08742-3535
Phone (480) 306-6949

788 Woodland Ave
Charles I Hyde MD
Oradell, NJ 07649-1432
Phone (480) 306-6949

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone (480) 306-6949

Hospital & facility affiliations

  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051051MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 19, 2025 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince Mar 1, 2016 Accepting new patients
Virtual Radiologic Professionals of New York, P.a. Diagnostic Radiology CurrentSince Oct 4, 2010 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Sep 27, 2024 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince Aug 25, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 18, 2025 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Sep 27, 2024 Accepting new patients
Community Radiology Past Accepting new patients
MRI Associates of Queens, PC Past Accepting new patients
Caritas Medical Group Inc. Diagnostic Radiology Past Accepting new patients
Boston University Medical Center Radiologists, Inc. Diagnostic Radiology Past Accepting new patients

Locations

725 S Dobson Rd
Ste A105
Chandler, AZ 85224
Phone (480) 786-2827

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

27695 Network Pl
Chicago, IL 60673

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177

954 Teaneck Rd
#M
Teaneck, NJ 07666

157 Fries Mill Rd
Turnersville, NJ 08012
Phone (856) 677-1010

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

Networks

  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H1722

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1295764876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CIRCUIT RD",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874046",
            "telephone_number": "617-734-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CANAL ST",
            "address_2": "SUITE 206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134155",
            "telephone_number": "212-349-5799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDE",
        "first_name": "CHARLES",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09020000",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "051051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008441",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "HYDE",
            "middle_name": "IRA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.