Dr. Ellis B Charles, MD
Psychiatry & Neurology, Psychiatry in East Orange, New Jersey
1013046341- Practice location
- 90 Washington St, East Orange, NJ 07017-1050
- Phone
- 973-672-2555
- Fax
- 973-672-2529
- Last updated
- March 5, 2013
Ellis B Charles is a Psychiatry & Neurology, Psychiatry based in East Orange, NJ. Ellis B Charles practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Ellis B Charles is 1013046341 and holds a License No. 132910 (NY). The current practice location address for Ellis B Charles is 90 Washington St, East Orange, NJ 07017-1050 and can be reached out via phone at 973-672-2555 and via fax at 973-672-2529.
Provider Profile Details
- NPI Number
- 1013046341
- Provider Name
- Ellis B Charles
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Washington St, East Orange, NJ 07017-1050
- Phone Number
- 973-672-2555
- Fax Number
- 973-672-2529
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 4, 2007
- Last Update Date
- March 5, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Washington St
East Orange, NJ 07017-1050 - City
- East Orange
- State
- New Jersey
- Zip
- 07017-1050
- Phone Number
- 973-672-2555
- Fax Number
- 973-672-2529
Provider Business Mailing Address Details
- Address
- 63 Longview Ave
Randolph, NJ 07869-3008 - City
- Randolph
- State
- NJ
- Zip
- 07869-3008
- Phone Number
- 973-895-5062
License Information
- License Number (1)
- 132910
- License State (1)
- NY
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 25MA05127300
- License State (2)
- NJ
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
- License Number (3)
- 18284
- License State (3)
- GA
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Ellis B Charles, MD?
The NPI number of Dr. Ellis B Charles, MD is 1013046341. It was assigned on March 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Ellis B Charles, MD?
Dr. Ellis B Charles, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 132910.
Where does Dr. Ellis B Charles, MD practice?
The practice location is 90 Washington St, East Orange, NJ 07017-1050. The office can be reached at 973-672-2555 (phone) or 973-672-2529 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013046341 directly on the NPPES registry website.