Active NPI
Nicole Castro, RDN, CDN
- Registered Dietitian
- Elmhurst, NY
National Provider Identifier
1104462621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 010013
- Practice address
- 4225 Layton St Apt 4G
Elmhurst, NY 11373-2335 - Phone
- (347) 283-8589
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 010013 | NY | Primary |
Addresses
Primary practice location
4225 Layton St Apt 4G
Elmhurst, NY 11373-2335
Mailing address
4225 Layton St Apt 4G
Elmhurst, NY 11373-2335
Phone (347) 283-8589
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010013 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1104462621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 LAYTON ST APT 4G",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113732335",
"telephone_number": "347-283-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 LAYTON ST APT 4G",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113732335",
"telephone_number": "347-283-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "NICOLE",
"credential": "RDN, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "010013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
- Ana Y Castillo, MS IN EDUCATION
- Yayleen Castillo
- Tita D. Castor, M.D.
- Ana Jacqueline Castro
- Carlos Fernan Castro III, RN
- Roberto Castro
- Catholic Medical Center of Brooklyn and Queens (Saint Johns Hospital Dialysis)
- Catholic Medical Center of Brroklyn and Queens (Saint Johns Hospital)
- Sharisse Cato
- Candida Catucci, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.