Individual provider Active NPI

Joseph Robert Castro, PA

  • Medical Physician Assistant
  • Middletown, CT
National Provider Identifier
1114968658
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000803 Issued in CT
Practice address
28 Crescent St
Middletown, CT 06457-3654
Phone
(860) 350-8000
NPI assigned
Jun 8, 2006
Last updated
Mar 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 000803 CT Primary

Addresses

Primary practice location

28 Crescent St
Middletown, CT 06457-3654

Mailing address

7 Hillcrest Dr
Old Saybrook, CT 06475-4021
Phone (860) 388-9889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000654 CT Practitioner - Physician Assistant 5890770085 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
803CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Jan 2, 2007 Accepting new patients
Old Saybrook Ambulance Assn Inc. Current Accepting new patients
MHS Primary Care Inc Medical CurrentSince May 18, 2015 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
MHS Primary Care Inc CurrentSince May 18, 2015 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Connecticut Em-1 Medical Services, PC Past Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

896 Washington St
Middletown, CT 06457
Phone (860) 788-3632

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

Interoperability endpoints

  • Direct secure messaging: jcastro17986@middlesexhealthprd.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1114968658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HILLCREST DR",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754021",
            "telephone_number": "860-388-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-350-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.