Individual provider Active NPI

Patricia A Castillo, PA-C

  • Medical Physician Assistant
  • White Plains, NY
National Provider Identifier
1154350551
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0027181 Issued in NY
Practice address
23 S Broadway
James J Peters Vamc, White Plains Cboc
White Plains, NY 10601-3503
Phone
(718) 584-9000
Fax
(914) 421-1956
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0027181 NY Primary
Medical Physician Assistant 363AM0700X 1932 MA
Medical Physician Assistant 363AM0700X 103890 NC

Addresses

Primary practice location

23 S Broadway
James J Peters Vamc, White Plains Cboc
White Plains, NY 10601-3503

Mailing address

23 S Broadway
James J Peters Vamc, White Plains Cboc
White Plains, NY 10601-3503
Phone (718) 584-9000

Other identifiers 1

IdentifierTypeStateIssuer
1578514MedicaidNY

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002718NYMDMental Health Counselor
1932MAMDAthletic Trainer
103890NCMDMedical Physician Assistant
0027181NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1154350551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S BROADWAY",
            "address_2": "JAMES J PETERS VAMC, WHITE PLAINS CBOC",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013503",
            "telephone_number": "718-584-9000",
            "fax_number": "914-421-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S BROADWAY",
            "address_2": "JAMES J PETERS VAMC, WHITE PLAINS CBOC",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013503",
            "telephone_number": "718-584-9000",
            "fax_number": "914-421-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0027181",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1932",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.