PATRICK CHARLES (NPI# 1295138782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295138782 |
| Entity Type | Individual |
| Full Name | PATRICK CHARLES |
| Credential | DO |
| Practice Address |
30 Prospect Ave Hackensack NJ 07601-1914 |
| Mailing Address |
5665 Kennedy Blvd Apt 337 North Bergen NJ 07047-3223 |
| Practice Telephone | 5519962331 |
| Mailing Telephone | 5164281219 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MB10313500 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 730351468 | NJ | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124538764 | Patrick Harry Charles | Nurse Practitioner | 8229 Pacific Beach Dr, Fort Myers, FL 33966-7974 | 2017-10-10 |
| 1396742151 | Patrick Anselm Charles | Internal Medicine | 18601 Mack Ave, Suite 2, Detroit, MI 48236-3250 | 2005-07-07 |
| 1811994130 | Patrick Benjamin Charles | Dentist | 2684 W Highway 11e, Strawberry Plains, TN 37871-3554 | 2005-07-01 |
| Street Address |
30 PROSPECT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955279 | Despee Bockarie Konneh | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2005-07-14 |
| 1629675616 | Jena Marie Ahmed | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-10-03 |
| 1114532173 | Caroline Castro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-15 |
| 1013521244 | Stephanie Akanbi | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-04 |
| 1639781388 | Caitlin Brianna Powers | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-08-22 |
| 1457960270 | Neha Bhasin | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-28 |
| 1083232375 | James Robert Hoff IIi | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-13 |
| 1043834336 | Daniel Sheldon | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-06-02 |
| 1710500780 | Ferdinand Pontejos | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| 1972126969 | Eric Hugenberg | Pharmacist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821261496 | Gregory Stephen Sugalski | Emergency Medicine | 30 Prospect Ave Fl 3, Hackensack, NJ 07601-1915 | 2008-04-03 |
| 1093343410 | John Patrick Kane | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-03-31 |
| 1124510698 | Aakash Kaushik Shah | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601 | 2018-05-31 |
| 1073033247 | Malone Vincent Hill IIi | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2017-06-20 |
| 1073042073 | Zachary Burke | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2017-06-05 |
| 1356870331 | Jason Lee Fidel | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2017-06-05 |
| 1649708678 | Nicole Barbash | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2017-06-03 |
| 1851829113 | Miguel Adrian Reyes | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2017-05-31 |
| 1073041620 | Ilya Aleksandrovskiy | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2017-05-26 |
| 1053849620 | Daniel Bautista | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2017-05-26 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.