NPIMap

Individual provider Active NPI

Michel-Jose Charles, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1598711459
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
196901 Issued in NY
Practice address
3621 Glenwood Rd
Brooklyn, NY 11210-1944
Phone
(718) 434-0202
NPI assigned
May 25, 2006
Last updated
Dec 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 196901 NY Primary

Addresses

Primary practice location

3621 Glenwood Rd
Brooklyn, NY 11210-1944

Mailing address

157 Saint Pauls Rd N
Hempstead, NY 11550-1133
Phone (718) 434-0202

Other practice location 1

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

Other identifiers 1

IdentifierTypeStateIssuer
01549715MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcharles77315@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090706000218 NY Practitioner - Gastroenterology 9032260955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

1624 E 14TH St
Brooklyn, NY 11229-1104
Phone (708) 376-2220

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

3621 Glenwood Rd
Brooklyn, NY 11210-1944
Phone (718) 869-1501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy90
Upper gastrointestinal (GI) endoscopy for acid reflux30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 1, 2014 Accepting new patients
New York University Gastroenterology CurrentSince Mar 1, 2014 Accepting new patients
South Shore Medical Professionals P.C. Current Accepting new patients
Greater Brooklyn Gastroenterology Care PC Gastroenterology CurrentSince Mar 25, 2010 Accepting new patients
Park Slope Medical Service PC Past Accepting new patients
Brookdale Family Care Center, Inc. Gastroenterology Past Accepting new patients

Locations

1630 E 14th St
Brooklyn, NY 11229
Phone (516) 612-3722

3621 Glenwood Rd
Brooklyn, NY 11210
Phone (718) 434-4145

518 Front St
Hempstead, NY 11550
Phone (516) 489-1284

22414 Merrick Blvd
Laurelton, NY 11413
Phone (718) 949-6433

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

23428 Merrick Blvd
Rosedale, NY 11422
Phone (718) 413-2639

Networks

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

Interoperability endpoints

  • Direct secure messaging: mcharles77315@nyumc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1598711459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SAINT PAULS RD N",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501133",
            "telephone_number": "718-434-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101944",
            "telephone_number": "718-434-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22414 Merrick Blvd",
            "address_purpose": "LOCATION",
            "city": "Laurelton",
            "state": "NY",
            "postal_code": "114132023",
            "country_code": "US",
            "telephone_number": "718-949-6433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MICHEL-JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "196901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01549715",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcharles77315@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "22414 Merrick Blvd",
            "city": "Laurelton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114132023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.