Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Charles E Moisan Jr., MD

Internal Medicine Physician in Elizabethtown, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538114855

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Registry record

Entity type Individual (Type 1)

Name Charles E Moisan Jr.

Credential MD

Sex Male

Practice address Elizabethtown, NY, 12932

Phone (518) 873-6340

Fax (518) 873-2499

Enumeration date May 24, 2006

Last updated in NPPES Sep 14, 2018

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 102273 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
00636686	Medicaid	NY	-
111002291	Other	NY	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Charles Moisan practice?

The practice location on file with NPPES is in Elizabethtown, NY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Charles Moisan?

The National Provider Identifier (NPI) for Charles Moisan is 1538114855, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-14.