MR. CHARLES CHANDLER PA-C NPI 1417996901

NPI Information

  • NPI: 1417996901
  • Provider Name: MR. CHARLES CHANDLER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 150 BAY ST
    SUITE 915
    JERSEY CITY, NJ
    ZIP 07302
  • Phone: (973) 986-4013

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NPI Details

MR. Charles Chandler, PA-C is a medical physician assistant in Jersey City, NJ. MR. Charles Chandler, PA-C NPI is 1417996901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 BAY ST
SUITE 915
JERSEY CITY, NJ
ZIP 07302-900
Phone: (973) 986-4013

The enumeration date for this NPI number is 6/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical006115-1NEW YORKNo
2363AM0700XPhysician AssistantMedicalMP00056300NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q44339MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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