Charles Chandler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MP00056300 Issued in NJ

Practice address

150 Bay St
Suite 915
Jersey City, NJ 07302-2900

Phone

(973) 986-4013

NPI assigned

Jun 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CLC Medical Services Inc.

  • Medical Physician Assistant
  • Jersey City, NJ
  • NPI 1598791063
  NPD (past) Authorized official
• Premium Medical Care LLC

  • Internal Medicine Physician
  • Piscataway, NJ
  • NPI 1194757617
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417996901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BAY ST",
            "address_2": "SUITE 915",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022900",
            "telephone_number": "973-986-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BAY ST",
            "address_2": "SUITE 915",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022900",
            "telephone_number": "973-986-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "MP00056300",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006115-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samer A Chahine, DMD
• Sandeep Chakrabarty
• Anmol Champaneria
• Florence Y Chan, MD
• Ritu Chandak, M.D
• Vijay Ilango Chandran, MD,MPH
• Justin Chaney, DO
• James Kenneth Chang, M.D.
• Katie Yeu Chang, MD
• Kenneth S. Chang, M.D.

• Medical Physician Assistant in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.