Active NPI
Brocha Charloff, PA
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1508106030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 016418
- Practice address
- 1801 E 15TH St
Brooklyn, NY 11229-2809 - Phone
- (718) 954-2076
- NPI assigned
- Feb 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 016418 | NY | Primary |
Addresses
Primary practice location
1801 E 15TH St
Brooklyn, NY 11229-2809
Mailing address
1801 E 15TH St
Brooklyn, NY 11229-2809
Phone (718) 954-2076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016418 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Affiliates PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Toms River, NJ
- NPI 1669404018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1508106030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E 15TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292809",
"telephone_number": "718-954-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E 15TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292809",
"telephone_number": "718-954-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLOFF",
"first_name": "BROCHA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-20",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "016418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "016418",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.