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MR. CHARLES MARK LIVINGSTON PA
NPI 1174625537
Physician Assistant - Surgical in Geneseo, NY

Active since September 05, 2006
61 MAIN ST, SUITE 5, GENESEO, NY 14454(585) 243-7620(585) 243-1132 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles Mark Livingston Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES MARK LIVINGSTON PA (NPI 1174625537) is an individual surgical provider in Geneseo, New York, licensed in New York (23004586) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1174625537
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CHARLES MARK LIVINGSTONCredential: PA
Location Address61 MAIN ST, SUITE 5Geneseo, NY 14454-1255
Mailing Address42 South State Street, Box 418Nunda, NY 14517 · (585) 468-2867
Phone(585) 243-7620
Fax(585) 243-1132
Sole ProprietorYes
Enumeration DateSeptember 5, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1174625537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 23004586
Also ListedPhysician AssistantTaxonomy 363A00000X · License 23-004586 (NY)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 23004586 (NY)
61 MAIN ST, Geneseo, NY 14454
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHUCK LIVINGSTON PA PLLC
Orthopaedic Surgery (Sports Medicine)
61 MAIN ST, SUITE 5
GENESEO, NY 14454
Livingston County (585) 243-7620
ROBERT NICOLETTA MD SOUTHERN TIER SPORTS MEDICINE PLLC
Orthopaedic Surgery
61 MAIN ST, STE 5
GENESEO, NY 14454
Livingston County (585) 243-7620

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 Charles Livingston's NPI number?

The NPI number for Charles Livingston is 1174625537. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Charles Livingston located?

Charles Livingston practices at 61 Main St Suite 5, Geneseo, NY 14454. The listed phone number is (585) 243-7620.

What is Charles Livingston's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Charles Livingston was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.