CHRISTAL D CHARBONNET, DPM P.C. (NPI# 1861876328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861876328 |
| Entity Type | Organization |
| Organization Name | CHRISTAL D CHARBONNET, DPM P.C. |
| Practice Address |
4243 Richmond Ave 1st Floor Staten Island NY 10312-6221 |
| Mailing Address |
Po Box 15616 New Orleans LA 70175-5616 |
| Practice Telephone | 5044600987 |
| Mailing Telephone | 5044600987 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | DR. CHRISTAL CHARBONNET (PROVIDER/OWNER) |
| Authorized Official Telephone | 5044600987 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N006465 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | A300068955 | 01 | |
| NY | 03468971 | 05 |
| Street Address |
4243 RICHMOND AVE 1ST FLOOR |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-6221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619078847 | Michael Shakin | Dentist | 4243 Richmond Ave, Staten Island, NY 10312 | 2006-09-26 |
| 1386992261 | Matt-med Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 4243 Richmond Ave, 1st Floor, Staten Island, NY 10312-6221 | 2012-08-26 |
| 1780811471 | Christal D Charbonnet | Podiatrist | 4243 Richmond Ave, Richmond Podiatry, Staten Island, NY 10312-6221 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760709505 | Richmond Podiatry Associates | Podiatrist | 4243 Richmond Ave., Staten Island, NY 10312-6238 | 2010-05-03 |
| 1295903144 | Steven Gregory Karasik | Podiatrist | 100 Seaview Ave, Staten Island, NY 10304-2836 | 2008-02-13 |
| 1982769477 | Aluko Osafo Jervis | Podiatrist | 295 Myrtle Ave, Staten Island, NY 10310-2332 | 2006-12-26 |
| 1144319864 | Anthony D Olivieri | Podiatrist | 3371 Richmond Ave, Staten Island, NY 10312-2025 | 2006-10-12 |
| 1952344673 | Stephen Smirlock | Podiatrist | 1025 Armstrong Ave, Staten Island, NY 10308-1210 | 2006-06-13 |
| 1184699795 | Gary Bartholomew Gugliada | Podiatrist | 89 Cromwell Ave, Staten Island, NY 10304-3944 | 2006-02-18 |
| 1174505630 | Ravi Kaizer Kamble | Podiatrist | 2338 Richmond Rd, Staten Island, NY 10306-2346 | 2005-11-18 |
| 1780811471 | Christal D Charbonnet | Podiatrist | 4243 Richmond Ave, Richmond Podiatry, Staten Island, NY 10312-6221 | 2009-06-19 |
| 1356576961 | Luis H. Mora | Podiatrist | 2749 Hylan Blvd, Staten Island, NY 10306-4656 | 2009-05-27 |
| 1871755256 | Lee Andrew Reiter | Podiatrist | 1534 Victory Blvd, Staten Island, NY 10314-3548 | 2008-06-27 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
Please comment or provide details below to improve the information on CHRISTAL D CHARBONNET, DPM P.C..
| 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.