Individual provider Active NPI

Charles Edward Flores, M.D.

  • Pediatrics Physician
  • Hamilton, NJ
National Provider Identifier
1962659953
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08329600 Issued in NJ
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

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25MA08329600NJMDPediatric Sports Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Panda Pediatrics LLC Pediatrics CurrentSince Sep 6, 2020 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.

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.

Verify at the official NPI Registry.