Individual provider Active NPI

Charleen Therese Holder

  • Family Nurse Practitioner
  • Cambria Heights, NY
National Provider Identifier
1528310505
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351140 Issued in NY
Practice address
11520 217TH St
Cambria Heights
Cambria Heights, NY 11411-1116
Phone
(347) 420-4109
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F351140 NY Primary

Addresses

Primary practice location

11520 217TH St
Cambria Heights
Cambria Heights, NY 11411-1116

Mailing address

11520 217TH St
Cambria Heights
Cambria Heights, NY 11411-1116
Phone (347) 420-4109

Other identifiers 1

IdentifierTypeStateIssuer
664418OtherNYRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251015000694 NY Practitioner - Nurse Practitioner 0749777506 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians

Practice addresses (Care Compare)

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Aug 9, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 9, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Aug 9, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 9, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Aug 9, 2025 Accepting new patients

Locations

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

616 Castle Hill Ave
Ste A
Bronx, NY 10473

918 Pelham Pkwy S
Ste 1
Bronx, NY 10462

108 E 183rd St
Bronx, NY 10453
Phone (718) 295-4600

5997 Riverdale Ave
Bronx, NY 10471
Phone (718) 601-1900

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

5667 Riverdale Ave
Bronx, NY 10471

2742 3rd Ave
Ste A
Bronx, NY 10455

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

1990 McGraw Ave
Ste A
Bronx, NY 10462

305 E 149th St
Bronx, NY 10451
Phone (212) 470-9229

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

2015 Grand Concourse
#13202
Bronx, NY 10453

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

2308 Eastchester Rd
Bronx, NY 10469

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2722 White Plains Rd
Ste A
Bronx, NY 10467

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1528310505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 217TH ST",
            "address_2": "CAMBRIA HEIGHTS",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111116",
            "telephone_number": "347-420-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 217TH ST",
            "address_2": "CAMBRIA HEIGHTS",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111116",
            "telephone_number": "347-420-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "CHARLEEN",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "664418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria Heights, NY

Sources for this page

Verify at the official NPI Registry.