Individual provider · Type 1 NPI

Jason Ly, DO

Pediatric Emergency Medicine (Pediatrics) Physician · Charlotte, NC

NPI number 1649920265 Active

Practice location

1000 Blythe Blvd Fl 4
Charlotte, NC 28203-5812

Other practice locations

  • 601 Childrens Ln, Norfolk, VA 23507-1910 · (757) 668-7249

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X0102209178 (VA)
Pediatrics Physician 208000000X0102209178 (VA)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X2026-01173 (NC)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

50 other providers at this address

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About NPI 1649920265

Jason Ly, DO's National Provider Identifier is 1649920265, issued on Mar 26, 2022. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Charlotte, NC. The record was last updated on Mar 19, 2026.