Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Charles E Moisan Jr MD PC

Internal Medicine Physician in Elizabethtown, NY · enumerated 2010 · authorized official Dianne Ahrent, Office Manager.

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

National Provider Identifier

1396064416

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Registry record

Entity type Organization (Type 2)

Legal business name Charles E Moisan Jr MD PC

Practice address 80 Park St, Elizabethtown, NY, 12932

Phone (518) 873-6340

Enumeration date May 28, 2010

Last updated in NPPES Jun 1, 2010

Taxonomy & classification

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

Authorized official

Name Dianne Ahrent

Title Office Manager

Phone (518) 562-3204

Other identifiers

Identifier	Type	State	Issuer
00636686	Medicaid	NY	-

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 is Charles E Moisan Jr MD PC located?

The practice location on file with NPPES is in Elizabethtown, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-06-01. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-06-01.