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DR. CHARLES BERYL NISSMAN DDS
NPI 1538133665
Specialist in Feasterville, PA

Active since February 15, 2006PECOS Enrolled
137 W STREET RD, FEASTERVILLE, PA 19053(215) 322-7810(215) 322-7832 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Charles Beryl Nissman Dds NPPES

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

DR. CHARLES BERYL NISSMAN DDS (NPI 1538133665) is an individual specialist in Feasterville, Pennsylvania, licensed in Pennsylvania (DS017304L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538133665
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CHARLES BERYL NISSMANCredential: DDS
Location Address137 W STREET RDFeasterville, PA 19053-4168
Mailing Address137 W Street RdFeasterville, PA 19053-4168 · (215) 322-7810 · Fax (215) 322-7832
Phone(215) 322-7810
Fax(215) 322-7832
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1538133665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · DS017304L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
137 W STREET RD, Feasterville, PA 19053
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Other Identifiers 5

Other4437PA · Aetna
Other0023182000PA · Keystone
Medicare UPINT29788PA
Medicare ID-Type UnspecifiedNI160558
Other160558PA · Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Beryl Nissman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. MICHAEL KENNETH KANER D.M.D.
Dentist (General Practice)
137 W STREET RD
FEASTERVILLE TREVOSE, PA 19053
Bucks County (215) 357-1306
DR. MICHAEL BRIAN SALIN DMD
Specialist
137 W STREET RD
FEASTERVILLE, PA 19053
Bucks County (215) 322-7810

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 Nissman's NPI number?

The NPI number for Charles Nissman is 1538133665. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Charles Nissman located?

Charles Nissman practices at 137 W Street Rd, Feasterville, PA 19053. The listed phone number is (215) 322-7810.

What is Charles Nissman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Charles Nissman enrolled in Medicare?

Yes. Charles Nissman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Nissman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.