Individual provider Active NPI

Charles Michael Paolino, D.O.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1760464473
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209437 Issued in NY
Practice address
314 W 14TH St
New York, NY 10014-5002
Phone
(646) 638-4000
Fax
(646) 638-1842
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209437 NY Primary

Addresses

Primary practice location

314 W 14TH St
New York, NY 10014-5002

Mailing address

314 W 14TH St
New York, NY 10014-5002
Phone (646) 638-4000

Other identifiers 1

IdentifierTypeStateIssuer
02176043MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20071108000721 NY Practitioner - Internal Medicine 8820186877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Flatiron Family Medical PCGroup PAC ID 6002179025, 4 clinicians

Practice addresses (Care Compare)

12 W 21St St
FL 6
New York, NY 10010-6914
Phone (212) 343-2222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209437NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flatiron Family Medical PC CurrentSince Mar 1, 2023 Accepting new patients

Locations

12 W 21st St
Fl 6
New York, NY 10010
Phone (212) 343-2222

Interoperability endpoints

  • Direct secure messaging: charles.paolino.1@17612.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17612/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760464473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100145002",
            "telephone_number": "646-638-4000",
            "fax_number": "646-638-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100145002",
            "telephone_number": "646-638-4000",
            "fax_number": "646-638-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINO",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02176043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.