Jason Charles, LMT, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

030754 Issued in NY

Practice address

1324 Forest Ave
Ste 125
Staten Island, NY 10302-2044

Phone

(646) 838-1729

NPI assigned

May 10, 2016

Last updated

Oct 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508544000000",
    "number": "1457707226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 FOREST AVE",
            "address_2": "STE 125",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022044",
            "telephone_number": "646-838-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 FOREST AVE",
            "address_2": "STE 125",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022044",
            "telephone_number": "646-838-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LMT, LMBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2017-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00810300",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Demarco
• Charles F Sansbury (Sansbury Medical)
• Charles J Demarco, PC Dba Allied Health Imaging
• Charles Pfeiffer Inc.
• Cynthia Olaitan Charles, RN
• Christine Clare Charneco, MFT
• Joanne Charney, LCSW
• Lenora A Charnovesky, RN
• Stanely Charzewski, LCSWR
• Nathale Chase

• Massage Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2017; 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.