Active NPI
Nancy Louis-Charles
- Specialist
- Westbury, NY
National Provider Identifier
1700239290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 718763
- Practice address
- 857 Pepperidge Rd
Westbury, NY 11590-1418 - Phone
- (516) 385-4208
- NPI assigned
- Jul 20, 2016
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 718763 | NY | Primary |
Addresses
Primary practice location
857 Pepperidge Rd
Westbury, NY 11590-1418
Mailing address
857 Pepperidge Rd
Westbury, NY 11590-1418
Phone (516) 385-4208
Other names 1
- Nancy Derodel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718763 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1700239290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 PEPPERIDGE RD",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901418",
"telephone_number": "516-385-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 PEPPERIDGE RD",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901418",
"telephone_number": "516-385-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUIS-CHARLES",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "718763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "DERODEL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.