Active NPI
Pamela Ann Charles, D.C., D.A.C.N.B.
- Neurology Chiropractor
- New York, NY
National Provider Identifier
1881713634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- X009333-1
- Practice address
- 1085 Park Avenue
Suite 1-E
New York, NY 10128-1180 - Phone
- (212) 348-7876
- Fax
- (212) 360-7974
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | X009333-1 | NY | Primary |
Addresses
Primary practice location
1085 Park Avenue
Suite 1-E
New York, NY 10128-1180
Mailing address
1085 Park Avenue
Suite 1-E
New York, NY 10128-1180
Phone (212) 348-7876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009333-1 | NY | MD | Neurology Chiropractor |
| 009333 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1881713634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 PARK AVENUE",
"address_2": "SUITE 1-E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281180",
"telephone_number": "212-348-7876",
"fax_number": "212-360-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 PARK AVENUE",
"address_2": "SUITE 1-E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281180",
"telephone_number": "212-348-7876",
"fax_number": "212-360-7974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "PAMELA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C., D.A.C.N.B.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NY",
"license": "X009333-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.