Charles Alan Pierce, D.O., M.P.H

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MB09902000 Issued in NJ

Practice address

333 Broad St
Red Bank, NJ 07701-2178

Phone

(901) 448-1350

NPI assigned

May 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cpierce266246@ahs.direct-ci.com
• Direct secure messaging: charlespierce@mai.allscriptsdirect.net
• Direct secure messaging: cpierce68038@northwell.direct-ci.com

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.

• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Rowe Plastic Surgery of Long Island PC

  • Plastic Surgery Physician
  • Plainview, NY
  • NPI 1952944852
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1659548279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012178",
            "telephone_number": "732-852-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012178",
            "telephone_number": "901-448-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "CHARLES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O., M.P.H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "283468",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MB09902000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Rachael Phaneuf, NP
• Phillip J Mosca MD LLC
• Phoenix Anesthesia LLC
• Phyllis H. Detwiler DMD PC
• Christina Maria Picciano, D.O.
• Elijah Pierre
• Naomi Ann Pilande, R.D.
• Pilates Therapy PT LLC
• Kristina E Pilgrim, L.C.S.W
• Alison Maria Pingitore, FNP

• Plastic Surgery Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.