ANTONIA CHARLES
NPI 1164686788
Clinic/Center - Community Health in Brooklyn, NY
About Antonia Charles NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIA CHARLES (NPI 1164686788) is an individual community health provider in Brooklyn, New York, licensed in New York (893900) and active in the NPI registry since July 2008.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Antonia Charles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Antonia Charles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10013
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Antonia Charles's NPI number?
The NPI number for Antonia Charles is 1164686788. It was assigned to this individual provider in the NPPES registry on July 13, 2008.
Where is Antonia Charles located?
Antonia Charles practices at 539 Atlantic Ave # 170619, Brooklyn, NY 11217. The listed phone number is (347) 249-3620.
What is Antonia Charles's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.
Is Antonia Charles enrolled in Medicare?
Yes. Antonia Charles is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Antonia Charles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonia Charles reassigns Medicare benefits to Healthful & Natural Living LLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonia Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Antonia Charles was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Antonia Charles · NPI 1164686788
Community Health provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since July 13, 2008.
## Identity
- **NPI:** 1164686788 (Entity type: Individual)
- **Enumerated:** July 13, 2008
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **State license:** 893900 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 539 ATLANTIC AVE # 170619, Brooklyn, NY 11217-1913
- **Phone:** (347) 249-3620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Healthful & Natural Living LLC (NPI 1841924677, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1164686788) · Data from the CMS NPPES public registry.