DR. CHARLES HUNTER SHALLER (NPI# 1609337013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609337013 |
| Entity Type | Individual |
| Full Name | DR. CHARLES HUNTER SHALLER |
| Credential | MD |
| Practice Address |
82 164th Street Jamaica NY 11432 |
| Mailing Address |
82-68 164th St. Jamaica NY 11432 |
| Practice Telephone | 7188833000 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487603858 | Charles Alva Shaller | Ophthalmology | 36 Westgate Plz, Franklin, NC 28734 | 2006-05-10 |
| Street Address |
82 164TH STREET |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797067 | Joseph A Alvarez | Student in an Organized Health Care Education/Training Program | 13425 166th Pl Apt 4b, Jamaica, NY 11434-3818 | 2020-10-09 |
| 1265042451 | Gulshan Begum | Student in an Organized Health Care Education/Training Program | 8900 170th St Apt 11f, Jamaica, NY 11432-5319 | 2020-08-03 |
| 1568080539 | Pamela Chowayou | Student in an Organized Health Care Education/Training Program | 16318 Jamaica Ave Ste 2, Jamaica, NY 11432-4901 | 2020-07-07 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1548880198 | Yombenkis Bigay | Student in an Organized Health Care Education/Training Program | 13804 Linden Blvd # 2, Jamaica, NY 11436-1029 | 2020-04-23 |
| 1841810637 | Lochana Kc | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expy # 3, Jamaica, NY 11418-2832 | 2020-04-21 |
| 1669092946 | Jamil Ashrafuzzaman | Student in an Organized Health Care Education/Training Program | 8620 162nd St Fl 1, Jamaica, NY 11432-3432 | 2020-04-16 |
| 1730708348 | Solomon Davidovich Borukhov | Student in an Organized Health Care Education/Training Program | 167th Street, 82-60, Jamaica, NY 11432-1823 | 2020-04-14 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| Find all providers in JAMAICA | ||||
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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.