DR. NEKTARIOS CHARISIS MD
NPI 1902434756
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Nektarios Charisis's NPI number?

The NPI number for Nektarios Charisis is 1902434756. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Q: What is Nektarios Charisis's specialty?

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

Active since March 28, 2020PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-1791 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2020, Mar 28, 2020 (2 updates tracked since 2020).

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About Dr. Nektarios Charisis Md NPPES

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

DR. NEKTARIOS CHARISIS MD (NPI 1902434756) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902434756

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. NEKTARIOS CHARISISCredential: MD

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 444-1791

Phone(631) 444-1791

Sole ProprietorNo

Enumeration DateMarch 28, 2020

Last NPPES UpdateApril 6, 20202 updates tracked since enumeration

NPPES CertifiedApril 6, 2020

✔ NPI 1902434756 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.

101 NICOLLS RD, Stony Brook, NY 11794

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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. Nektarios Charisis Md 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 20

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

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