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Jason Ly, DO — NPI 1649920265, Charlotte, NC | NPI Central

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NPI 1649920265

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Jason Ly, DO

NPI 1649920265 · Pediatric Emergency Medicine (Pediatrics) Physician · Charlotte, NC

Provider details

NPI number: 1649920265
Entity type: Individual
Primary specialty: Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: 0102209178 (VA)

Specialties & taxonomies

Pediatric Emergency Medicine (Pediatrics) PhysicianPrimary2080P0204XLicense 2026-01173 (NC)
Allopathic & Osteopathic Physicians
Pediatric Emergency Medicine (Pediatrics) Physician2080P0204XLicense 0102209178 (VA)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense 0102209178 (VA)
Allopathic & Osteopathic Physicians

Practice location

1000 Blythe Blvd Fl 4

Charlotte, NC 28203-5812

Phone: (704) 381-6800

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

1000 Blythe Blvd Fl 4

Charlotte, NC 28203-5812

Additional practice locations (1)

601 Childrens Ln
Norfolk, VA 23507-1910
Phone: (757) 668-7249

Registry dates

Enumerated: 2022-03-26
Last updated: 2026-03-19
Certified: 2026-03-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.