Individual provider Active NPI

Charline Felissaint, APRN

  • Gerontology Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1508733601
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ15353200 Issued in NJ
Practice address
500 Dekalb Ave
Brooklyn, NY 11205-5243
Phone
(718) 964-6161
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ15353200 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ15353200 NJ Primary

Addresses

Primary practice location

500 Dekalb Ave
Brooklyn, NY 11205-5243

Mailing address

500 Dekalb Ave
Brooklyn, NY 11205-5243
Phone (718) 964-6161

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
I20260106003139 NJ Practitioner - Nurse Practitioner 7810483120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

389 Bradford St
Orange, NJ 07050-1908

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15353200NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Oct 25, 2025 Accepting new patients

Locations

101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336

250 Skillman St
Ste 202
Brooklyn, NY 11205

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.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1508733601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055243",
            "telephone_number": "718-964-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055243",
            "telephone_number": "718-964-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELISSAINT",
        "first_name": "CHARLINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15353200",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15353200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.