Active NPI
Holly Henrietta Charleton-Henry, MD
- Emergency Medicine Physician
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA09470200
- Practice address
- 900 Franklin Ave
Valley Stream, NY 11580-2145 - Phone
- (516) 256-6353
- NPI assigned
- Jun 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 265462 | NY | |
| Emergency Medicine Physician | 207P00000X | 25MA09470200 | NJ | Primary |
Addresses
Primary practice location
900 Franklin Ave
Valley Stream, NY 11580-2145
Mailing address
304 E 156TH St Apt 2G
Bronx, NY 10451-4852
Phone (347) 524-5269
Other practice location 1
115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 469-4100
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 664-8000
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2232
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09470200 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Associates of Woonsocket LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Georgia Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Nes Georgia Inc | Emergency Medicine | Current | Accepting new patients |
Locations
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701
Interoperability endpoints
- hcharletonhenry511038@direct.ahsys.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Woonsocket, RI
- NPI 1912342528
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
dba Sound Physicians Emergency Medicine of New York
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
-
- Emergency Medicine Physician
- Elizabeth, NJ
- NPI 1043616675
-
- Emergency Medicine Physician
- Newark, NJ
- NPI 1912411331
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Landmark Medical Center
- General Acute Care Hospital
- Woonsocket, RI
- NPI 1699752923
-
dba Landmark Medical Center
- Psychiatric Hospital Unit
- Woonsocket, RI
- NPI 1396722666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1740542687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E 156TH ST APT 2G",
"city": "BRONX",
"state": "NY",
"postal_code": "104514852",
"telephone_number": "347-524-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 FRANKLIN AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115802145",
"telephone_number": "516-256-6353"
}
],
"practiceLocations": [
{
"address_1": "115 Cass Ave",
"address_purpose": "LOCATION",
"city": "Woonsocket",
"state": "RI",
"postal_code": "028954705",
"country_code": "US",
"telephone_number": "401-769-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARLETON-HENRY",
"first_name": "HOLLY",
"middle_name": "HENRIETTA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "265462",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA09470200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.