Active NPI
Luz Elena Castillo Lora
- Surgical Assistant
- New York, NY
National Provider Identifier
1124425277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 14-615
- Practice address
- 4395 Broadway
Apt 2B
New York, NY 10040-4024 - Phone
- (347) 707-9668
- NPI assigned
- Dec 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 14-615 | CO | Primary |
Addresses
Primary practice location
4395 Broadway
Apt 2B
New York, NY 10040-4024
Mailing address
4395 Broadway
Apt 2B
New York, NY 10040-4024
Phone (347) 707-9668
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-615 | CO | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1124425277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4395 BROADWAY",
"address_2": "APT 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404024",
"telephone_number": "347-707-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4395 BROADWAY",
"address_2": "APT 2B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404024",
"telephone_number": "347-707-9668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO LORA",
"first_name": "LUZ",
"middle_name": "ELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-03",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "14-615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.