Individual provider Active NPI

Charlotte Rose Kile, PA

  • Physician Assistant
  • Point Lookout, NY
National Provider Identifier
1992612923
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
036234-01 Issued in NY
Practice address
135 Freeport Ave # 167
Point Lookout, NY 11569-3027
Phone
(516) 998-8045
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 036234-01 NY Primary

Addresses

Primary practice location

135 Freeport Ave # 167
Point Lookout, NY 11569-3027

Mailing address

135 Freeport Ave # 167
Point Lookout, NY 11569-3027
Phone (516) 998-8045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1992612923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 FREEPORT AVE # 167",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115693027",
            "telephone_number": "516-998-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 FREEPORT AVE # 167",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115693027",
            "telephone_number": "516-998-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILE",
        "first_name": "CHARLOTTE",
        "middle_name": "ROSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "036234-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Lookout, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.