LYDIA CHARLES MD NPI 1598754509

NPI Information

  • NPI: 1598754509
  • Provider Name: LYDIA CHARLES, MD
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 1680 ROUTE 23
    SUITE 350
    WAYNE, NJ
    ZIP 07470
  • Phone: (973) 521-9700

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NPI Details

Lydia Charles, MD is an adolescent medicine pediatrics in Wayne, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Lydia Charles, MD NPI is 1598754509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1680 ROUTE 23
SUITE 350
WAYNE, NJ
ZIP 07470-501
Phone: (973) 521-9700
Fax: (973) 521-9707

The enumeration date for this NPI number is 10/21/2005 and was last updated on 11/12/2013.

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
12080A0000XPediatricsAdolescent MedicineMA06235800NEW 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
1MA06235800OTHERNEW JERSEYMEDICAL LICENSE

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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