Individual provider Active NPI

Anlly J Castillo

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1114404647
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1240989181 Issued in NY
Practice address
6770 Yellowstone Blvd Apt C
Forest Hills, NY 11375-2836
Phone
(347) 744-3978
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1240989181 NY Primary

Addresses

Primary practice location

6770 Yellowstone Blvd Apt C
Forest Hills, NY 11375-2836

Mailing address

6770 Yellowstone Blvd Apt C
Forest Hills, NY 11375-2836
Phone (347) 744-3978

Other practice location 1

6770 Yellowstone Blvd Apt C
Forest Hills, NY 11375-2836
Phone (347) 744-3978

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

LicenseStateTypeSpecialty
1240989181NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1114404647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 YELLOWSTONE BLVD APT C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752836",
            "telephone_number": "347-744-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 YELLOWSTONE BLVD APT C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752836",
            "telephone_number": "347-744-3978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6770 Yellowstone Blvd Apt C",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752836",
            "country_code": "US",
            "telephone_number": "347-744-3978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ANLLY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1240989181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.