Individual provider Active NPI

Joseph J. Castronuovo, MD

  • Internal Medicine Physician
  • Key Largo, FL
National Provider Identifier
1114982444
Registry record updated Jul 11, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Nov 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
102498 Issued in FL
Practice address
18 Fishermans CV
Unit B
Key Largo, FL 33037-3768
Phone
(305) 367-4859
Fax
(305) 367-4859
NPI assigned
Apr 19, 2006
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 102498 FL Primary
Nuclear Medicine Physician 207U00000X 102498 FL

Addresses

Primary practice location

18 Fishermans CV
Unit B
Key Largo, FL 33037-3768

Mailing address

18 Fishermans CV
Unit B
Key Largo, FL 33037-3768
Phone (305) 367-4859

Other identifiers 3

IdentifierTypeStateIssuer
00614517MedicaidNY
904931OtherNYMEDICARE
W9L981OtherNYMEDICARE ID

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0952311NYMDSocial Worker
102498FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Radiology at Glen Cove PC PastSince Sep 1, 2010 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, 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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1114982444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FISHERMANS CV",
            "address_2": "UNIT B",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330373768",
            "telephone_number": "305-367-4859",
            "fax_number": "305-367-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FISHERMANS CV",
            "address_2": "UNIT B",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330373768",
            "telephone_number": "305-367-4859",
            "fax_number": "305-367-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRONUOVO",
        "first_name": "JOSEPH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "102498",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "102498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00614517",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "904931",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "W9L981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

Verify at the official NPI Registry.