MR. JASON CHARLES (NPI# 1457707226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457707226 |
| Entity Type | Individual |
| Full Name | MR. JASON CHARLES |
| Credential | LMT, LMBT |
| Practice Address |
1324 Forest Ave Ste 125 Staten Island NY 10302-2044 |
| Practice Telephone | 6468381729 |
| Mailing Telephone | 6468381729 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2017-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 030754 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | 18KT00810300 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083018121 | Jason Charles | Registered Nurse | 17322 140th Ave, Jamaica, NY 11434-4608 | 2014-10-17 |
| Street Address |
1324 FOREST AVE STE 125 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10302-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457539561 | Staten Island Lithotripsy LLC | Clinic/Center | 1324 Forest Ave, #228, Staten Island, NY 10302-2028 | 2008-01-31 |
| 1366889719 | Suhas S Kotian | Specialist | 1324 Forest Ave, Suite 431, Staten Island, NY 10302-2044 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
| 1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
| 1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
| 1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
| 1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
| 1225468432 | Total Dental Care of Staten Island, P.C. | Dentist | 135 Willowbrook Road, Staten Island, NY 10302 | 2013-11-25 |
| 1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
| 1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
| Find all providers in zip 10302 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849429 | Andrew Casanova | Massage Therapist | 151b Waterbury Ave, Staten Island, NY 10309-3634 | 2020-10-20 |
| 1174139539 | Nohelani Mccoy | Massage Therapist | 19 Morningstar Rd, Staten Island, NY 10303-2808 | 2020-09-21 |
| 1962018911 | Shuwen Chen | Massage Therapist | 342 Arthur Kill Rd, Staten Island, NY 10308-1100 | 2020-09-16 |
| 1184238362 | Evangeline Elea Dardouni | Massage Therapist | 18 Lerer Ln, Staten Island, NY 10307-2401 | 2020-09-03 |
| 1770197279 | Henry Gorbonos | Massage Therapist | 221 Grimsby St, Staten Island, NY 10306-5823 | 2020-09-02 |
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1821610163 | Patricia S Martino | Massage Therapist | 338 Loretto St, Staten Island, NY 10307-1920 | 2020-05-09 |
| 1790209567 | Teresa Diforte | Massage Therapist | 40 Hillview Pl, Staten Island, NY 10304-2942 | 2017-08-02 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| 1467997395 | Julie Rea Mctague | Massage Therapist | 159 Potter Ave, Staten Island, NY 10314-3025 | 2017-01-02 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10302 |
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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.