Joseph Robert Castro, PA
Individual provider Active NPI Medical Physician Assistant · Middletown, CT
NPI 1114968658 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1114968658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 000803 (CT)
- Practice address
- 28 Crescent St
Middletown, CT 06457-3654 - Phone
- (860) 350-8000
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040622000654 | CT | Practitioner - Physician Assistant | 5890770085 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803 | CT | MD | Behavioral Analyst |
| 000803 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Current |
Accepting new patients | |
| Middlesex Hospital | Current |
Accepting new patients | |
| Old Saybrook Ambulance Assn Inc. | Current | Accepting new patients | |
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| MHS Primary Care Inc | Medical | Current |
Accepting new patients |
| MHS Primary Care Inc | Current |
Accepting new patients | |
| Connecticut Em-1 Medical Services, PC | Past | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Past | Accepting new patients | |
| Saint Raphael Faculty Physicians | Past | Accepting new patients |
Locations
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
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
- jcastro17986@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000803 | CT | Yes |
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
Other providers in Middletown, CT
- Jason Cassese
- James Joseph Cassidy
- Karen Cassidy
- Kaitlin Renee Castell
- Nicole A Castiglioni
- Santiago Castro
- Catholic Charities, Inc
- Zachary Cavanaugh
- Samuel R Cawley
- Almira Cecunjanin
All providers in Middletown, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.