Active NPI
Charleen Therese Holder
- Family Nurse Practitioner
- Cambria Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F351140
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 664418 | Other | NY | RN 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current | 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.
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-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.