Individual provider Active NPI

Yiselle Zenit Castillo, D.D.S.

  • Periodontics
  • New York, NY
National Provider Identifier
1013939164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
44562 Issued in NY
Practice address
160 E 32ND St
Suite 103
New York, NY 10016-6004
Phone
(212) 683-3328
Fax
(212) 683-0021
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 44562 NY Primary

Addresses

Primary practice location

160 E 32ND St
Suite 103
New York, NY 10016-6004

Mailing address

110 Chestnut Dr
Roslyn, NY 11576-2301
Phone (516) 801-0787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001666 NY Order and Referring Only - DentistPractitioner - Dentist 2860798097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44562NYMDPeriodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013939164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHESTNUT DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762301",
            "telephone_number": "516-801-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 32ND ST",
            "address_2": "SUITE 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166004",
            "telephone_number": "212-683-3328",
            "fax_number": "212-683-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "YISELLE",
        "middle_name": "ZENIT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "44562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.