DR. SHERISSA CHARLES (NPI# 1235518978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235518978 |
| Entity Type | Individual |
| Full Name | DR. SHERISSA CHARLES |
| Credential | M.D. |
| Practice Address |
3080 Atlantic Ave Brooklyn NY 11208-1268 |
| Mailing Address |
13303 Jamaica Ave Jamaica NY 11418-2618 |
| Practice Telephone | 7186470240 |
| Mailing Telephone | 7182066942 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 292111 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05269856 | 05 |
| Street Address |
3080 ATLANTIC AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11208-1268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363788 | Anastasia Fokas | Pediatrics | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2005-06-01 |
| 1588004097 | May Lai | Pediatrics | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2013-06-28 |
| 1760752315 | Natalie M Sauro | Nurse Practitioner | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2012-01-12 |
| 1245482611 | Beth Giaquinto | Physician Assistant | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2008-10-16 |
| 1629105432 | Kathryn Lynn Elshoff | Nurse Practitioner | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2007-02-28 |
| 1396852505 | Irina Ilyayeva | Dentist | 3080 Atlantic Ave, Brooklyn, NY 11208 | 2006-08-24 |
| 1457398620 | Nicolae Mosu | Obstetrics & Gynecology | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2006-05-31 |
| 1205899606 | Engracio Gary Villanueva | Internal Medicine | 3080 Atlantic Ave, Brooklyn, NY 11208 | 2006-04-08 |
| 1326001967 | Susan Philips Abraham | Internal Medicine | 3080 Atlantic Ave, Brooklyn, NY 11208 | 2006-04-06 |
| 1326000977 | Renato Gega | Pediatrics | 3080 Atlantic Ave, Brooklyn, NY 11208 | 2006-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595564 | Danielle Sharaby-glasser | Nurse Practitioner | Franklin K Lane School Based Health Center, 999 Jamaica Avenue, Brooklyn, NY 11208 | 2019-08-30 |
| 1205320769 | Lucrece Bonostro | Nurse Practitioner | 1804 Liberty Avenue, Brooklyn, NY 11208 | 2018-06-19 |
| 1952824682 | Jeniffer Zephyrine | Psychologist | 318 Milford St, Brooklyn, NY 11208 | 2017-07-25 |
| 1518408822 | Lavern Souvenir | Licensed Practical Nurse | 502 Cleveland, Brooklyn, NY 11208 | 2017-03-20 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1477098606 | Robert Terrelonge | Registered Nurse | 791 Drew St, Brooklyn, NY 11208 | 2016-12-26 |
| 1881140606 | Mana Traore | Social Worker | 761 Essex Street, Brooklyn, NY 11208 | 2016-08-31 |
| 1699121079 | Sarah Bipath | Speech-Language Pathologist | 2944 Pitkin Ave, Brooklyn, NY 11208 | 2016-05-04 |
| 1184087074 | Instacareems | Special Hospital | 688 Crescent Street, Brooklyn, NY 11208 | 2016-03-30 |
| 1073988549 | Mutiat Yusuf | Licensed Practical Nurse | 675 Lincoln Avenue Apt 11m, Brooklyn, NY 11208 | 2015-12-09 |
| Find all providers in zip 11208 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782972 | Home Physician Assistant Services PC | Family Medicine | 2119 E 15th St Ste B1, Brooklyn, NY 11229-4376 | 2020-08-26 |
| 1932719044 | Sophie Miro Fortier | Family Medicine | 70 Washington St Apt 7j, Brooklyn, NY 11201-1466 | 2020-08-04 |
| 1598380701 | Imaduddin Hashmi Md Pllc | Family Medicine | 527 Coney Island Ave, Brooklyn, NY 11218-3466 | 2020-06-12 |
| 1932723053 | Cherysh Foster | Family Medicine | 299 Malcolm X Blvd, Brooklyn, NY 11233-3996 | 2020-06-04 |
| 1497377246 | Central Brooklyn Physician Pllc | Family Medicine | 387 Linden Blvd Fl 1, Brooklyn, NY 11203-2823 | 2020-05-15 |
| 1194350066 | Visavis Health Care Medical Group of Ny, Pllc | Family Medicine | 3923 Fort Hamilton Parkway, Brooklyn, NY 11218-1916 | 2020-03-11 |
| 1679106330 | Tanya Sereitha Morant | Family Medicine | 193 17th St, Brooklyn, NY 11215-6977 | 2020-02-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1043778038 | Carla Ylose Jean-baptiste | Family Medicine | 1000 E 98th St # 2, Brooklyn, NY 11236-2327 | 2019-03-08 |
| 1295201424 | Yente Chesny | Family Medicine | 1122 Chestnut Ave, Brooklyn, NY 11230-5844 | 2018-10-15 |
| Find all providers in BROOKLYN | ||||
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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.