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

Dr. Ellis B Charles, MD

Individual provider Psychiatry Physician · NPI 1013046341

Dr. Ellis B Charles, MD is a Psychiatry Physician in East Orange, New Jersey. Practices as a sole proprietor. Licensed in Georgia, New Jersey and New York.

Licensed in
GA, NJ, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

90 Washington St
East Orange, NJ 07017-1050
Phone: (973) 672-2555
Fax: (973) 672-2529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 25MA05127300 (NJ)
Psychiatry Physician Taxonomy 2084P0800X · Licence 132910 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 18284 (GA)

Record details

NPI number1013046341
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 4, 2007
Last updated in NPPESMarch 5, 2013
Mailing address63 Longview Ave, Randolph, NJ 07869-3008

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