Charlene Erica King, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00706100 Issued in NJ

Practice address

81 Stockman PL
Irvington, NJ 07111-2764

Phone

(973) 807-2766

NPI assigned

Mar 14, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1982107082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 STOCKMAN PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112764",
            "telephone_number": "973-807-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 STOCKMAN PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112764",
            "telephone_number": "973-807-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHARLENE",
        "middle_name": "ERICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00706100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moloud A Khanmohamadi, MD
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• Eunmi Kim
• Adara S. Kimbrough, MSW
• Kindvine Care and Support Services LLC
• Kings Choice Pharmacy Inc
• Abul Al Shakir Kinyatta, CADC, CPRS
• Joseph Klobedanz
• Ibrahima Kourouma
• Kuman Inc

• Family Nurse Practitioner in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.