| NPI | 1417110958 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-07-03 |
| Last Updated | 2024-05-24 |
| Mailing Address | 17 Carver Ter Yonkers, NY 10710-3705 United States Phone: (347) 581-8219 📍 View Map |
| Primary Practice Address | 4781 Broadway New York, NY 10034-4915 United States Phone: (212) 932-4200 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207V00000X – Obstetrics & Gynecology | GA | 390200000X |
| No | 207V00000X – Obstetrics & Gynecology | CA | 144965 |
| Yes | 207V00000X – Obstetrics & Gynecology | NY | 296793 |
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About NPI 1417110958
Charlene Shervonne Emmanuel M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417110958. The primary specialty listed is Obstetrics & Gynecology. The provider is located in New York, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-07-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417110958?
NPI 1417110958 belongs to Charlene Shervonne Emmanuel M.D., a Obstetrics & Gynecology in New York, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417110958 active?
The current status of NPI 1417110958 in the NPPES registry is Active. The record was last updated on 2024-05-24.
What specialty is NPI 1417110958?
NPI 1417110958 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1417110958?
You can verify NPI 1417110958 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1417110958?
The primary practice address on file for NPI 1417110958 is 4781 Broadway, New York, NY 10034-4915. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417110958 issued?
NPI 1417110958 was first issued (enumerated) on 2008-07-03. The NPPES record was last updated on 2024-05-24.
Practice Location Map
Charlene Shervonne Emmanuel is located at 4781 Broadway, New York, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Charlene Shervonne Emmanuel. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1417110958. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Obstetrics & Gynecology | 390200000X | GA |
| Obstetrics & Gynecology | 144965 | CA |
| Obstetrics & Gynecology | 296793 | NY |