Active NPI
Ermany Castillon, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Bronx, NY
National Provider Identifier
1093972812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 011365
- Practice address
- 1070 Southern Blvd
Bronx, NY 10459-2412 - Phone
- (718) 589-4541
- Fax
- (718) 893-8511
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 011365 | NY | Primary |
Addresses
Primary practice location
1070 Southern Blvd
Bronx, NY 10459-2412
Mailing address
1070 Southern Blvd
Bronx, NY 10459-2412
Phone (718) 589-4541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011365 | Other | NY | NEW YORK STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Downtown Hospital FPP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- New York, NY
- NPI 1629036751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1093972812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 SOUTHERN BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104592412",
"telephone_number": "718-589-4541",
"fax_number": "718-893-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 SOUTHERN BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104592412",
"telephone_number": "718-589-4541",
"fax_number": "718-893-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLON",
"first_name": "ERMANY",
"name_prefix": "Ms.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "011365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE NUMBER",
"identifier": "011365",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.