Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Summers, CHARLESSUMMERS

Individual provider Physician Assistant · NPI 1023282167

Charles Summers, CHARLESSUMMERS is a Physician Assistant in Mineola, New York. Qualified in 1999, 27 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
Fax: (516) 663-2184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 007342-1 (NY)

Record details

NPI number1023282167
Entity typeIndividual (Type 1)
GenderMale
Credentials CHARLESSUMMERS
Sole proprietorYes
NPI enumeratedApril 19, 2008
Last updated in NPPESApril 19, 2008
Mailing address700 Hicksville Rd, Suite 204, Bethpage, NY 11714-3471

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola