Christal D Charbonnet, DPM P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N006465 Issued in NY

Legal business name

CHRISTAL D CHARBONNET, DPM P.C.

Practice address

4243 Richmond Ave
1St Floor
Staten Island, NY 10312-6221

Phone

(504) 460-0987

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christal Charbonnet, DPMNPI 1780811471

Title

Provider/Owner

Phone

(504) 460-0987

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christal D Charbonnet, DPM

  • Foot Surgery Podiatrist
  • Wayne, NJ
  • NPI 1780811471

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1861876328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15616",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701755616",
            "telephone_number": "504-460-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 RICHMOND AVE",
            "address_2": "1ST FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126221",
            "telephone_number": "504-460-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTAL D CHARBONNET, DPM P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "CHARBONNET",
        "authorized_official_first_name": "CHRISTAL",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "504-460-0987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300068955",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03468971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tsun Yan Chow, M.S, OTR/L
• Varun Chowdhry
• Charles Choy, MD
• Joanna Chrisomalis, PT
• Christa Durkin, LCSW, P.C.
• Jimmy Joseph Christi, OTR/L
• Monica Christian, FNP
• Shinny Christian, FNP
• Luanne Christiansen, M.S.P.T.
• Kenneth Christie, NURSE PRACTITIONER

• Foot Surgery Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.