Individual provider Active NPI

Jocelyn Charlon, NP

  • Adult Health Nurse Practitioner
  • Jackson Heights, NY
National Provider Identifier
1487095600
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306504 Issued in NY
Practice address
3744 75TH St
Jackson Heights, NY 11372-6444
Phone
(718) 803-7300
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306504 NY Primary

Addresses

Primary practice location

3744 75TH St
Jackson Heights, NY 11372-6444

Mailing address

3744 75TH St
Jackson Heights, NY 11372-6444

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
I20191031000168 NJ Practitioner - Nurse Practitioner 7618268863 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Sep 7, 2019 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Sep 7, 2019 Accepting new patients

Locations

100 1st St
Ste 301
Hackensack, NJ 07601
Phone (551) 996-5848

92 2nd St
Hackensack, NJ 07601
Phone (551) 996-2210

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Organizations & group practices 2

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1487095600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 75TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 75TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726444",
            "telephone_number": "718-803-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLON",
        "first_name": "JOCELYN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.