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CHARLIE DAVID DECKER
NPI 1619763422
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 17, 2025
240 S 40TH ST, PHILADELPHIA, PA 19104(215) 898-8965 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Charlie David Decker NPPES

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

CHARLIE DAVID DECKER (NPI 1619763422) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1619763422
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLIE DAVID DECKER
Location Address240 S 40TH STPhiladelphia, PA 19104-6030
Mailing Address240 S 40th StPhiladelphia, PA 19104-6030 · (215) 898-8965
Phone(215) 898-8965
Sole ProprietorNo
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1619763422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
240 S 40TH ST, Philadelphia, PA 19104
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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.

CARLY CAMILLE CAMPION
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
PATRICK MICHAEL CARMODY
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
YEN YUN LIN
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
MR. DANIEL EUNSOO KIM
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-8965
RACQUEL MARIA GIRO
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
MARIA KLAVDIA KRIEG
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588
DR. JESSICA HILBURG D.D.S.
Dentist (General Practice)
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-8965
YESUL KANG
Student in an Organized Health Care Education/Training Program
240 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 573-2588

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 Charlie Decker's NPI number?

The NPI number for Charlie Decker is 1619763422. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Charlie Decker located?

Charlie Decker practices at 240 S 40th St, Philadelphia, PA 19104. The listed phone number is (215) 898-8965.

What is Charlie Decker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Charlie Decker was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.