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MS. CHARLENE OLIVIA JUSTIN PA-C
NPI 1578759536
Physician Assistant - Medical in New Haven, CT

Active since September 23, 2007PECOS Enrolled
800 HOWARD AVE FL 1, NEW HAVEN, CT 06519(203) 785-7411(203) 785-4194 Get Directions Write a Review

NPPES record last updated: August 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2019, Mar 21, 2016 (2 updates tracked since 2016).

About Ms. Charlene Olivia Justin Pa-c NPPES

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

MS. CHARLENE OLIVIA JUSTIN PA-C (NPI 1578759536) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (3263) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578759536
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. CHARLENE OLIVIA JUSTINCredential: PA-C
Location Address800 HOWARD AVE FL 1New Haven, CT 06519-1369
Mailing Address800 Howard AveNew Haven, CT 06519-1369 · (650) 759-1426
Phone(203) 785-7411
Fax(203) 785-4194
Sole ProprietorNo
Enumeration DateSeptember 23, 2007
Last NPPES UpdateAugust 4, 20192 updates tracked since enumeration
✔ NPI 1578759536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 3263
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-06058 (NC), 51298 (CA)
800 HOWARD AVE FL 1, New Haven, CT 06519
Open in Google Maps ↗

Other Names 1

Other Name (5)Ms. Charlene Olivia Justin

Other Identifiers 1

MedicaidENROLLEDMN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Charlene Olivia Justin Pa-c 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 12

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

DR. CAROLINE JOAN SCHMIDT PH.D.
Psychologist (Clinical)
800 HOWARD AVE FL 1
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-7411
IRVIN CHUNG OH M.D.
Orthopaedic Surgery
800 HOWARD AVE FL 1
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2579
ISAAC Y KIM MD, PHD
Surgery (Surgical Oncology)
800 HOWARD AVE FL 1
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2815
AMY HAYDON-RYAN BS, PA-C
Physician Assistant
800 HOWARD AVE FL 1
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (877) 925-3637
CHRISTOPHER PAUL DECKER APRN
Nurse Practitioner (Family)
800 HOWARD AVE FL 1
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (877) 925-3637
DR. SAMANTHA SMITH MD
Orthopaedic Surgery
800 HOWARD AVE FL 1
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2579
JENNIFER ANN VALLE FNP-BC
Nurse Practitioner (Family)
800 HOWARD AVE FL 1
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2579
DANIEL WIZNIA MD
Orthopaedic Surgery
800 HOWARD AVE FL 1
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2579

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 Charlene Justin's NPI number?

The NPI number for Charlene Justin is 1578759536. It was assigned to this individual provider in the NPPES registry on September 23, 2007. The provider is also known as Ms. Charlene Olivia Justin.

Where is Charlene Justin located?

Charlene Justin practices at 800 Howard Ave Fl 1, New Haven, CT 06519. The listed phone number is (203) 785-7411.

What is Charlene Justin's specialty?

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

Is Charlene Justin enrolled in Medicare?

Yes. Charlene Justin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlene Justin was last updated on August 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.