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MR. CHARLES PARK P.A.
NPI 1215928072
Physician Assistant - Medical in New Haven, CT

Active since November 02, 2005
150 SARGENT DR, SUITE 1, NEW HAVEN, CT 06511(203) 781-4444(203) 789-8341 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Charles Park P.a. NPPES

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

MR. CHARLES PARK P.A. (NPI 1215928072) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (000001) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1215928072
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. CHARLES PARKCredential: P.A.
Location Address150 SARGENT DR, SUITE 1New Haven, CT 06511-6100
Mailing Address150 Sargent Dr, Suite 1New Haven, CT 06511-6100 · (203) 781-4444 · Fax (203) 789-8341
Phone(203) 781-4444
Fax(203) 789-8341
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateDecember 8, 2014
✔ NPI 1215928072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 000001
150 SARGENT DR, New Haven, CT 06511
Open in Google Maps ↗

Other Identifiers 3

Other970011498CT · Railroad Medicare
Medicare UPINS91545CT
Medicare ID-Type Unspecified970000444CT

Other Providers at the Same Location NPPES 20

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

MRS. ASMAA FERDJALLAH MD, MPH
Pediatrics
150 SARGENT DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 777-7411
J RYAN MARTIN MD
Obstetrics & Gynecology
150 SARGENT DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2140
SERENA C FLAHERTY APRN CPNP
Nurse Practitioner (Pediatrics)
150 SARGENT DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 777-7411
WILLIAM LAWRENCE ROBERTS MD, MSC
Internal Medicine
150 SARGENT DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3440
HARVEY J KLIMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
150 SARGENT DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-4708
SOUTHERN CONNECTICUT INTERNAL MEDICINE
Internal Medicine
150 SARGENT DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4444
DR. NATHAN ISAAC WOOD MD
Internal Medicine
150 SARGENT DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3000
RAHAEL ASIA LYNGDOH RAWSON WHNP-BC
Nurse Practitioner (Women's Health)
150 SARGENT DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 503-3000

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 Park's NPI number?

The NPI number for Charles Park is 1215928072. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Charles Park located?

Charles Park practices at 150 Sargent Dr Suite 1, New Haven, CT 06511. The listed phone number is (203) 781-4444.

What is Charles Park's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Charles Park was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.