Charles Mark Middleton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00242100 Issued in NJ

Practice address

108 Roosevelt Blvd
Marmora, NJ 08223-1403

Phone

(609) 926-8899

Fax

(609) 814-2147

NPI assigned

Sep 13, 2010

Last updated

Apr 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connolly Dermatology Delaware LLCGroup PAC ID 8224426838, 6 clinicians

Coyle S Connolly DO PAGroup PAC ID 2961498118, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.23 of 100Reported as group

Quality

95.33

Promoting interoperability

86

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coyle S Connolly DO PA

  • Dermatology Physician
  • Linwood, NJ
  • NPI 1053367516
  Medicare reassignment Care Compare group
• Connolly Dermatology Delaware LLC

  • Dermatology Physician
  • Lewes, DE
  • NPI 1932779881
  Medicare reassignment Care Compare group
• Tidal Emergency Physicians LLC

  • Emergency Medicine Physician
  • Neptune, NJ
  • NPI 1649222407
  NPD (past)

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1972810836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-840-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ROOSEVELT BLVD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231403",
            "telephone_number": "609-926-8899",
            "fax_number": "609-814-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Banning St Ste 380",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199043493",
            "country_code": "US",
            "telephone_number": "302-291-9900",
            "fax_number": "302-291-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16337 Coastal Hwy",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199583607",
            "country_code": "US",
            "telephone_number": "302-291-9900",
            "fax_number": "302-672-0879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "CHARLES",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00242100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meraris Lopez
• Sharon J Manupello, OTR
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• Sandra McGarvey, LPC
• Magdalena Mendez
• Karen Lynn Moyer, RN, CNOR, RNFA
• Kimberly Nell
• New Jersey CVS Pharmacy LLC (CVS Pharmacy # 04841)
• Nichole Baughman, Surgical Assistant LLC
• Osprey Rehabilitation, LLC.

• Physician Assistant in Marmora, NJ
• Providers in Marmora, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.