Chaya Lee Charles, RD, CSG, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

006770 Issued in NY

Practice address

813 Fay Rd
Syracuse, NY 13219-3009

Phone

(315) 703-0684

NPI assigned

Mar 24, 2014

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

Other names 1

• Chaya Lee Mono Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1851718266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 STATE ROUTE 49",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130362338",
            "telephone_number": "315-727-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FAY RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193009",
            "telephone_number": "315-703-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "CHAYA",
        "middle_name": "LEE",
        "credential": "RD, CSG, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAYA",
            "last_name": "MONO",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Scott Charlamb, MD
• Jayne R Charlamb, MD
• Hannah Mae Charland, MD
• Todd Matthew Charland, MS PT
• Charles Scioscia
• John A Charles, MD
• Kettia Charles
• Charnice Charmant, MD
• Alexander Chartier, MD
• Ian Chase, MD

• Registered Dietitian in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.