CHARLSIE KHALISHA CELESTINE (MD) – Gynecology Physician, NPI 1104250117

CHARLSIE KHALISHA CELESTINE (MD) is a healthcare provider. based in East windsor, New Jersey. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 27031 (WV). The NPI Number for CHARLSIE KHALISHA CELESTINE (MD) is 1104250117

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
CHARLSIE KHALISHA CELESTINE (MD)
NPI
1104250117
Phone
(609) 607-6600
Address
319 US HIGHWAY 130 STE 29D
Enumeration Date
27 August 2013
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2019674000
Graduation Year
2011 (15 years ago)
PAC ID
0547534851
Group Practice PAC ID
9032104047
Professional Enrollment ID
I20200505002652
Address ID
NJ076524142PA230XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,497 OBSTETRICS/GYNECOLOGY in NJ

Provider Addresses for CHARLSIE KHALISHA CELESTINE (MD)

  • 319 US HIGHWAY 130 STE 29D

    EAST WINDSOR, NJ 085202735

    Phone: (609) 607-6600

    Fax: (609) 371-0346

    Type: Mailing

  • 116 Hills Plz

    Charleston, WV 253872438

    Phone: (304) 720-4466

    Fax: (304) 720-4821

    Type: Location

  • 12 Kanawha Ter

    Saint Albans, WV 251772750

    Phone: (304) 201-1130

    Fax: (304) 201-1134

    Type: Location

  • 97 Great Teays Blvd Ste 6

    Scott Depot, WV 255609816

    Phone: (304) 757-6999

    Type: Location

  • 800 Bunn Dr Ste 202

    Princeton, NJ 085401968

    Phone: (609) 246-5541

    Type: Location

  • 800 BUNN DR STE 202

    PRINCETON, NJ 085401968

    Phone: (609) 246-5541

    Fax: (609) 430-1901

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $10,684.

Total Amount is formed as General ($10,684) + Research ($0) + Ownership ($0) = $10,684.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Sonio ($5,400).

Total Amount

$10,684

General + Research + Ownership

Payments

15

Total payment records

General Amount

$10,684

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200505002652IObstetrics/GynecologyNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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 08520)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032104047View full group profile
NameSpecialtyState
Internal MedicineNJ
Nurse PractitionerNJ
N E P H R O L O G YIL
Physician AssistantNJ
Clinical Social WorkerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
P S Y C H I A T R YNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Is CHARLSIE KHALISHA CELESTINE (MD) listed with a National Provider Identifier?
Yes — CHARLSIE KHALISHA CELESTINE (MD) has NPI 1104250117 on file in the registry.
Is there an active status for CHARLSIE KHALISHA CELESTINE (MD)?
For scheduling context, CHARLSIE KHALISHA CELESTINE (MD) is shown as active in the registry.
What area of care is associated with CHARLSIE KHALISHA CELESTINE (MD)?
CHARLSIE KHALISHA CELESTINE (MD)'s record emphasizes Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is CHARLSIE KHALISHA CELESTINE (MD) associated with East Windsor?
Public fields place CHARLSIE KHALISHA CELESTINE (MD) around East Windsor, New Jersey. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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