Christelle Charles, PA-C
Physician Assistant in Brooklyn, NY. Individual provider (NPI-1).
NPI number1124906565
StatusActive
Last updated in NPPESJan 28, 2026
Details
- NPI
- 1124906565
- Entity type
- Individual (NPI-1)
- Name
- Christelle Charles
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2025
- Certification date
- Jan 28, 2026
- Last updated
- Jan 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1575 E 19th StBrooklyn, NY 11230-7577
Phone 718-314-1485
Mailing address
1575 E 19th StBrooklyn, NY 11230-7577
Phone 718-464-3000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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