Active NPI
Melita Charles, MD
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1720049489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 203082
- Practice address
- 350 Henry St
Brooklyn, NY 11201-6001 - Phone
- (718) 780-2777
- Fax
- (718) 780-4703
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 203082 | NY | Primary |
Addresses
Primary practice location
350 Henry St
Brooklyn, NY 11201-6001
Mailing address
350 Henry St
Brooklyn, NY 11201-6001
Phone (718) 780-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02173173 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suny Health Science Center at Brooklyn | Past | Accepting new patients | |
| State of New York | Past | Accepting new patients |
Interoperability endpoints
- melita.charles@direct.hvhc.org
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Brooklyn, NY
- NPI 1639477979
-
- Urology Physician
- Brooklyn, NY
- NPI 1104124379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1720049489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 HENRY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016001",
"telephone_number": "718-780-2777",
"fax_number": "718-780-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HENRY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016001",
"telephone_number": "718-780-2777",
"fax_number": "718-780-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "MELITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "203082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02173173",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.