Active NPI
Joseph J. Castronuovo, MD
- Internal Medicine Physician
- Key Largo, FL
National Provider Identifier
1114982444
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.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 102498
- 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, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00614517 | Medicaid | NY | |
| 904931 | Other | NY | MEDICARE |
| W9L981 | Other | NY | MEDICARE 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0952311 | NY | MD | Social Worker |
| 102498 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Radiology at Glen Cove PC | Past | 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.
-
- Body Imaging Physician
- Glen Cove, NY
- NPI 1003024662
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.