Individual provider Active NPI

Angelo Castello, D.C.

  • Chiropractor
  • Poughkeepsie, NY
National Provider Identifier
1164513891
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004834-1 Issued in NY
Practice address
26 Ibm Rd
Suite 105
Poughkeepsie, NY 12601-5427
Phone
(845) 462-8200
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004834-1 NY Primary

Addresses

Primary practice location

26 Ibm Rd
Suite 105
Poughkeepsie, NY 12601-5427

Mailing address

22 Ibm Rd
Ste 105
Poughkeepsie, NY 12601-5461
Phone (845) 462-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090701000098 NY Practitioner - Chiropractic 9032260104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22 Ibm Rd
Suite 105
Poughkeepsie, NY 12601-5461
Phone (845) 462-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004834-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Castello Chiropractic PLLC Chiropractor CurrentSince Aug 4, 2009 Accepting new patients

Locations

22 Ibm Rd
Ste 105
Poughkeepsie, NY 12601
Phone (845) 462-8200

26 Ibm Rd
#105
Poughkeepsie, NY 12601
Phone (845) 462-8200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1164513891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 IBM RD",
            "address_2": "STE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015461",
            "telephone_number": "845-462-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 IBM RD",
            "address_2": "SUITE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015427",
            "telephone_number": "845-462-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLO",
        "first_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004834-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.