Active NPI
Gerlando De Castro, PA
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 012513
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2000
- Fax
- (516) 562-6797
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 012513 | NY | Primary |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012513 | Other | NY | LICENSE |
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: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080626000096 | NY | Practitioner - Physician Assistant | 9234200023 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mskcc Surgery Group
Practice addresses (Care Compare)
1133 York Ave
New York, NY 10065-8307
Phone (646) 888-7100
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012513 | NY | MD | Mental Health Counselor |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Hospital | Current | Accepting new patients | |
| St Francis Hospital | Past | Accepting new patients |
Locations
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- gdecastro38085@mskcc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1205984580
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1114075496
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
Hospital
-
- Special Hospital
- New York, NY
- NPI 1770046351
Hospital
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
Hospital
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1043479983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2000",
"fax_number": "516-562-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CASTRO",
"first_name": "GERLANDO",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "012513",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.