Individual provider Active NPI

Charles Michael Patterino, M.D.

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1982677639
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
218189 Issued in NY
Practice address
2281 Victory Blvd
Staten Island, NY 10314-6625
Phone
(718) 494-6400
Fax
(718) 761-6854
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 218189 NY Primary

Addresses

Primary practice location

2281 Victory Blvd
Staten Island, NY 10314-6625

Mailing address

7115 3Rd Ave
4B
Brooklyn, NY 11209-1347
Phone (718) 748-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410003117 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0446774483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
218189NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physicians Group, PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cpatterino67842@northwell.direct-ci.com
  • Direct secure messaging: charles.patterino.1@29151.direct.athenahealth.com
  • Direct secure messaging: cpatterino@patterinomd.directmedgenehr.com

Organizations & group practices 1

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982677639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 3RD AVE",
            "address_2": "4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091347",
            "telephone_number": "718-748-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146625",
            "telephone_number": "718-494-6400",
            "fax_number": "718-761-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERINO",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "218189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.