Organization Active NPI

James a. Charles, M.D. P.a.

  • Neurology Physician
  • Bayonne, NJ
National Provider Identifier
1396041562
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA03631900 Issued in NJ
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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.NPI 1356457246
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20110209000371 NJ Part B Supplier - Clinic/Group Practice 5991985939 Receives reassigned benefits from 1 practitioner
Practice locations: Bayonne, NJ; North Bergen, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.