Charles Michael Jovellano, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

348608 Issued in NY

Practice address

11 5TH Ave Ste F
New York, NY 10003-4342

Phone

(212) 551-1102

NPI assigned

Oct 4, 2021

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1821760117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GREENE ST APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123856",
            "telephone_number": "201-675-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 5TH AVE STE F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034342",
            "telephone_number": "212-551-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVELLANO",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey to Wellness LCSW PLLC
• Kevin Jovanovic, M.D.
• Radoslav Jovanovic, M.D.
• Stefania Jovanovic, M.D.
• Jackie Jove-Altman, PH.D.
• Jeremy Val Jovellanos, MD
• Valentin Pardo Jovellanos, M.D.
• Narcisa Dana Jovic, IBCLC
• Sofija Jovic, PH.D.
• Luydmila Jovine, L.C.S.W.

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.