Yesica Castro

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305961-1 Issued in NY

Practice address

1639 E 3Rd Ave
Bay Shore, NY 11706-2537

Phone

(631) 559-0318

NPI assigned

Aug 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1124428040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 E 3RD AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E 3RD AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062537",
            "telephone_number": "631-559-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "YESICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305961-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Ryan Casa-Malone, MD, MPH
• Christina Casano, PTA
• Rosalia Casanova
• Kathleen Ann Casey, LMSW
• Clarissa Castanon, M.D.
• Catholic Charities of the Diocese of Rockville Centre
• Isairis Magaly Cavazos
• Andrew Joseph Cecora, DO
• Frank Cedeno, MD
• Geraldina Celestin

• All providers in Bay Shore, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.