Active NPI
Dianne Charles
- Community Health Clinic/Center
- Bronx, NY
National Provider Identifier
1417363094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 267754
- Legal business name
- DIANNE CHARLES
- Practice address
- 663 E 220TH St
Bronx, NY 10467-5317 - Phone
- (317) 500-9332
- NPI assigned
- Jul 3, 2014
- 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
- Dianne Charles
- Title
- LPN
- Phone
- (917) 500-9332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 267754 | NY | Primary |
Addresses
Primary practice location
663 E 220TH St
Bronx, NY 10467-5317
Mailing address
663 East 220 Street
Bronx, NY 10467
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404345600000",
"number": "1417363094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 EAST 220 STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "10467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 E 220TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104675317",
"telephone_number": "317-500-9332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANNE CHARLES",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A",
"authorized_official_last_name": "CHARLES",
"authorized_official_first_name": "DIANNE",
"authorized_official_title_or_position": "LPN",
"authorized_official_telephone_number": "917-500-9332"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NY",
"license": "267754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.