NPIMap

Organization Active NPI

Charles Evans Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hauppauge, NY
National Provider Identifier
1598299356
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
2950212R Issued in NY
Legal business name
CHARLES EVANS CENTER, INC.
Practice address
305 Oser Ave
Hauppauge, NY 11788-3607
Phone
(516) 622-8888
Fax
(516) 933-1266
NPI assigned
Apr 18, 2017
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Melissa Eckhoff
Title
Director
Phone
(516) 622-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 2950212R NY Primary

Addresses

Primary practice location

305 Oser Ave
Hauppauge, NY 11788-3607

Mailing address

857 S Oyster Bay Rd
Bethpage, NY 11714-1030
Phone (516) 622-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170511001669 NY Part A Provider - Federally Qualified Health Center (FQHC) 1759695992 Practice locations: Hauppauge, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598299356. Details of each certification follow.

Federally qualified health center certification: CCN 571076

Legal name
CHARLES EVANS CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 20, 2017
Last certification
Jun 20, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 19, 2015 in NY
Enrollment address
305 Oser Avenue
Hauppauge, NY 11788-3607

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Charles Evans Center Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John a. Javis Individual Corporate DirectorExecutive Director Apr 1, 2025 100%
W-2 Managing EmployeeAd; Apr 1, 2025 100%
Diane Peterson Individual Corporate DirectorBoard Member May 19, 2015 100%
Anne Emmerson Individual Corporate DirectorBoard Member May 19, 2015 100%
Robert C Goldsmith Individual Corporate DirectorBoard Member May 19, 2015 100%
Scott a Ross Individual Corporate DirectorBoard Member May 19, 2015 100%
Ronald Tauss Individual Corporate DirectorBoard Member May 19, 2015 100%
Ellen Spiegel Individual Corporate DirectorBoard Member May 19, 2015 100%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1598299356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 S OYSTER BAY RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141030",
            "telephone_number": "516-622-8888",
            "fax_number": "516-933-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 OSER AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883607",
            "telephone_number": "516-622-8888",
            "fax_number": "516-933-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES EVANS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "ECKHOFF",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-622-8888"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "2950212R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.