Active NPI
James a. Charles, M.D. P.a.
- Neurology Physician
- Bayonne, NJ
National Provider Identifier
1396041562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA03631900
- Legal business name
- JAMES A. CHARLES, M.D. P.A.
- Practice address
- 956 Kennedy Blvd
Bayonne, NJ 07002-1978 - Phone
- (201) 858-2457
- Fax
- (201) 858-1053
- NPI assigned
- Feb 4, 2011
- Last updated
- Aug 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James A Charles, M.D.
- Title
- Owner
- Phone
- (201) 858-2457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA03631900 | NJ | Primary |
Addresses
Primary practice location
956 Kennedy Blvd
Bayonne, NJ 07002-1978
Mailing address
956 Kennedy Blvd
Bayonne, NJ 07002-1978
Phone (201) 858-2457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8841 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 858-2457
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Bayonne, NJ
- NPI 1356457246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344470400000",
"number": "1396041562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 KENNEDY BLVD",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021978",
"telephone_number": "201-858-2457",
"fax_number": "201-858-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 KENNEDY BLVD",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021978",
"telephone_number": "201-858-2457",
"fax_number": "201-858-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES A. CHARLES, M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-04",
"last_updated": "2012-08-09",
"status": "A",
"authorized_official_last_name": "CHARLES",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-858-2457",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA03631900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.