MR. CHARLES PATRICK TILLEY (NPI# 1023346186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023346186 |
| Entity Type | Individual |
| Full Name | MR. CHARLES PATRICK TILLEY |
| Credential | NP |
| Practice Address |
1250 Broadway 7th Floor New York NY 10001-3701 |
| Practice Telephone | 9177638716 |
| Mailing Telephone | 9177638716 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2016-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | 305286 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03487405 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467798 | Charles L Tilley Jr. | Behavior Technician | 4642 Bethume Dr, Shreveport, LA 71109-6634 | 2017-06-26 |
| 1467502286 | Charles R Tilley Jr. | Physician Assistant | Po Box Hh, Winnebago, NE 68071-0767 | 2007-01-12 |
| Street Address |
1250 BROADWAY 7TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10001-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265956429 | Kim Grevler | Social Worker | 1250 Broadway, New York, NY 10001-3701 | 2017-07-31 |
| 1073057832 | Sam Miller | Occupational Therapist | 1250 Broadway, New York, NY 10001-3701 | 2016-12-14 |
| 1689127623 | Mini Mathew | Nurse Practitioner | 1250 Broadway, New York, NY 10001-3701 | 2016-07-26 |
| 1396197612 | Paul Chang | Social Worker | 1250 Broadway, 22nd Fl, New York, NY 10001-3701 | 2016-07-11 |
| 1235588013 | Diane Arndt | Occupational Therapist | 1250 Broadway, New York, NY 10001-3701 | 2016-06-12 |
| 1043668692 | Kim Fitzpatrick | Social Worker | 1250 Broadway, 22nd Floor, New York, NY 10001-3701 | 2016-05-24 |
| 1659733665 | Alison C Jennings | Registered Nurse | 1250 Broadway, Vnsny-6th Floor, New York, NY 10001-3701 | 2016-03-28 |
| 1346615598 | Vns | Clinic/Center | 1250 Broadway, New York, NY 10001-3701 | 2015-12-14 |
| 1265817365 | Vnsny Choice | Health Maintenance Organization | 1250 Broadway, New York, NY 10001-3701 | 2015-07-30 |
| 1518342872 | Community Care Management LLC | Case Management | 1250 Broadway, 22nd Fl., New York, NY 10001-3701 | 2015-07-28 |
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|---|---|---|---|---|
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1295351948 | Basha Gillian Silver | Psychologist | 544 Fifth Avenue, 10th Floor, New York, NY 10001 | 2020-06-18 |
| 1881219038 | Janice Elizabeth Williams, L.c.s.w., P.C. | Social Worker | 244 5th Ave, Suite W218, New York, NY 10001 | 2020-06-13 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1043831522 | Anderson Hong | Counselor | 352 7th Avenue, Suite 1604, New York, NY 10001 | 2020-05-06 |
| 1689207193 | Emely Castillo | Registered Nurse | 116 W 32nd St, New York, New York, New York, NY 10001 | 2020-02-13 |
| 1447890629 | William Howard Critzman IIi | Clinic/Center | 7 W 30th St. 10th Floor, New York, NY 10001 | 2020-01-15 |
| 1811533201 | Jacqueline Furst | Social Worker | 138 West 25th Street, 6th Floor, /suite 22, New York, NY 10001 | 2019-11-21 |
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1437709896 | Hannah Murray Starobin | Social Worker | 302 5th Avenue, 8th Floor #2, New York City, NY 10001 | 2019-09-18 |
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| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801248943 | Memory Check Psychological Services | Hospice, Inpatient | 155 Pinelawn Rd, Suite 120, Melville, NY 11747-3245 | 2016-07-12 |
| 1396755922 | Staten Island University Hospital | Hospice, Inpatient | 78 Meisner Ave, Staten Island, NY 10306-1234 | 2006-08-08 |
| 1417955543 | Cortland County | Hospice, Inpatient | 11 Kennedy Pkwy, Cortland, NY 13045-1409 | 2005-07-12 |
| 1720527757 | White Glove | Hospice, Inpatient | 630 Flushing Ave, Second Floor, Brooklyn, NY 11206-5026 | 2017-02-23 |
| 1164811220 | Urnc Operating, LLC | Hospice, Inpatient | 2535 Genesee St, Utica, NY 13501-6251 | 2015-01-13 |
| 1306177902 | Genesis Hemingway | Hospice, Inpatient | 31 North St, Newburgh, NY 12550-3535 | 2010-01-20 |
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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.