Individual provider Active NPI

Charles J Carey, PA

  • Physician Assistant
  • Buckingham, PA
National Provider Identifier
1821290123
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064346 Issued in PA
Practice address
4897 York Road
278
Buckingham, PA 18912
Phone
(215) 794-7471
Fax
(215) 794-2576
NPI assigned
May 31, 2007
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00023100 NJ
Physician Assistant 363A00000X MA064346 PA Primary

Addresses

Primary practice location

4897 York Road
278
Buckingham, PA 18912

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (267) 370-5296

Other practice location 1

9 Village Sq Ste 7
New Hope, PA 18938-1060
Phone (215) 862-4766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926000340 PA Practitioner - Physician Assistant 9739229105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Via AffiliatesGroup PAC ID 1759295512, 180 clinicians

Practice addresses (Care Compare)

593 W State STR 3Rd Floor
Doylestown Surgery Center Urology
Doylestown, PA 18901-2554
Phone (215) 230-0600

595 W State St
Doylestown, PA 18901-2554

599 W State St
Suite 202
Doylestown, PA 18901-2554
Phone (215) 345-6050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates CurrentSince Oct 23, 2023 Accepting new patients
Via Affiliates CurrentSince Oct 23, 2023 Accepting new patients
Via Affiliates Past Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

9 Village Sq
Ste 7
New Hope, PA 18938
Phone (215) 794-7471

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1821290123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-370-5296",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 YORK ROAD",
            "address_2": "278",
            "city": "BUCKINGHAM",
            "state": "PA",
            "postal_code": "18912",
            "telephone_number": "215-794-7471",
            "fax_number": "215-794-2576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Village Sq Ste 7",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "PA",
            "postal_code": "189381060",
            "country_code": "US",
            "telephone_number": "215-862-4766",
            "fax_number": "215-862-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAREY",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00023100",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckingham, PA

Sources for this page

Verify at the official NPI Registry.