Jennifer R Charles, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9105386 Issued in FL

Practice address

13400 SW 120TH St
Suite 101 Miami Children'S Hospital
Miami, FL 33186-7440

Phone

(305) 278-5951

Fax

(305) 278-5971

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New York Downtown Hospital FPP

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1629036751
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1790826469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 SW 120TH ST",
            "address_2": "SUITE 101 MIAMI CHILDREN'S HOSPITAL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867440",
            "telephone_number": "305-278-5951",
            "fax_number": "305-278-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 SW 120TH ST",
            "address_2": "SUITE 101 MIAMI CHILDREN'S HOSPITAL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867440",
            "telephone_number": "305-278-5951",
            "fax_number": "305-278-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathleen Mary Charles, APRN, BC
• Daphnee Charles, PA
• Janace Charles
• Jean Philippe Charles, BA
• Jeannie Charles, MSW
• Josya-Gony Charles, M.D.
• Jude Hassan Charles, MD
• Khadijah Charles, MSW
• Lakisha Anitra Charles, MSW
• Marie Jeannette Charles, ARNP

• Surgical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.