DYNA CHARLES (NP) – Registered Nurse, NPI 1063702629
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,574 NURSE PRACTITIONER in NJ
Provider Addresses for DYNA CHARLES (NP)
23 Franklin Ave
Montvale, NJ 076452528
Phone: (973) 851-4074
Fax: (347) 808-2716
Type: Location
23 FRANKLIN AVE
MONTVALE, NJ 076452528
Phone: (973) 851-4074
Fax: (347) 808-2716
Type: Mailing
517 W 181ST ST
NEW YORK, NY 100335102
Phone: (347) 808-2615
Fax: (347) 808-2716
Type: Location
101 PROSPECT AVE
APT. 3C
HACKENSACK, NJ 076011911
Phone: (973) 851-4074
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-29
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250228000778 | I | Nurse Practitioner | NY | TBD |
| I20251129000070 | I | Nurse Practitioner | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07645)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY |
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