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Deactivated NPI 1619083490 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Walter Kiley , DDS

Dentist - General Practice • Staten Island, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Kiley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2006
NPI Deactivation Date March 06, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Kiley, DDS was a registered Dentist - General Practice practicing in Staten Island, NY. Throughout an active medical career spanning 18 years, Dr. Kiley provided care at the practice location at 11 RALPH PL until profile deactivation on 2024-03-06.

Practice Location & Contact Primary Location

Practice Address

11 Ralph Pl
Suite 313

Staten Island, NY 103044419

Telephone 7188160686
Associated Practice Facility / Clinic
🏢 Primary Cardiology Pc Facility NPI 1942294707

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Staten Island, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
186 Specialists

Practicing in Staten Island, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 35313

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Dr. Nadubeethi Jayaram , MD

Orthopaedic Surgery

NPI 1033103882

Doctor of Medicine (M.D.)

Dr. Martin Loy , MD

Internal Medicine

NPI 1033104419

Doctor of Medicine (M.D.)

Dr. Coralia Tone , DDS

Dentist - General Practice

NPI 1043366255

Doctor of Dental Surgery

NPI 1063524536

Doctor of Medicine (M.D.)

Dr. Suo-Maw Chou , MD

Internal Medicine

NPI 1104958743

Doctor of Medicine (M.D.)

Chinagandham Bhupathi

Orthopaedic Surgery

NPI 1114911963

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 06, 2024

Record deactivated on March 06, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 11 RALPH PL, SUITE 313, STATEN ISLAND, NY 103044419 (Tel: 7188160686)

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Updated Business Mailing Address July 08, 2007

Registered at 2306 REDWOOD RD, SCOTCH PLAINS, NJ 070762116 (Tel: 9088898135)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES KILEY, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #35313 in NY)

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Initial NPI Registration & Enumeration August 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619083490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 08, 2007
Deactivation Date: March 06, 2024

Mailing Address

2306 Redwood Rd

Scotch Plains, NJ 070762116

Phone: 9088898135

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.