Active NPI
Charles Edward Flores, M.D.
- Pediatrics Physician
- Hamilton, NJ
National Provider Identifier
1962659953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA08329600
- Practice address
- 1230 Whitehorse Mercerville Rd
Hamilton, NJ 08619-3838 - Phone
- (609) 581-1700
- Fax
- (609) 581-9957
- NPI assigned
- Aug 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | 25MA08329600 | NJ | |
| Pediatrics Physician | 208000000X | 25MA08329600 | NJ | Primary |
Addresses
Primary practice location
1230 Whitehorse Mercerville Rd
Hamilton, NJ 08619-3838
Mailing address
2 Hart CT
Titusville, NJ 08560-1519
Phone (609) 468-4900
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08329600 | NJ | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panda Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| BCD Health Partners | Pediatrics | Past | Accepting new patients |
Locations
3635 Quakerbridge Rd
Ste 3
Trenton, NJ 08619
Phone (609) 394-3804
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Hamilton, NJ
- NPI 1205440401
-
- Pediatrics Physician
- Woodland Park, NJ
- NPI 1225317704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1962659953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HART CT",
"city": "TITUSVILLE",
"state": "NJ",
"postal_code": "085601519",
"telephone_number": "609-468-4900",
"fax_number": "609-527-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 WHITEHORSE MERCERVILLE RD",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086193838",
"telephone_number": "609-581-1700",
"fax_number": "609-581-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "CHARLES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "NJ",
"license": "25MA08329600",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA08329600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.