Individual provider Active NPI

Paula Charos

  • Nurse Practitioner
  • Somerville, NJ
National Provider Identifier
1407065451
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00010400 Issued in NJ
Practice address
71 4TH St
Somerville, NJ 08876-3235
Phone
(908) 526-2335
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00010400 NJ Primary

Addresses

Primary practice location

71 4TH St
Somerville, NJ 08876-3235

Mailing address

71 4TH St
Somerville, NJ 08876-3235
Phone (908) 526-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160824001327 NJ Practitioner - Nurse Practitioner 2668767039 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00010400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Nov 10, 2020 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Nov 10, 2020 Accepting new patients
Rwjbh Primary Care Services Nurse Practitioner CurrentSince Jun 4, 2022 Accepting new patients
Rutgers, the State University Past Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

324 South Ave E
Westfield, NJ 07090
Phone (908) 232-2727

324 South Ave E
Ste 2
Westfield, NJ 07090
Phone (908) 233-1444

Interoperability endpoints

  • Direct secure messaging: pcharos48242@epicdirect.rwjbh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1407065451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 4TH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763235",
            "telephone_number": "908-526-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 4TH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763235",
            "telephone_number": "908-526-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAROS",
        "first_name": "PAULA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00010400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.