Individual provider Active NPI

Nicole E. Faulkner Castro, PH.D.

  • Clinical Molecular Genetics Physician
  • Westborough, MA
National Provider Identifier
1164617221
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X
License
2005028 Issued in MA
Practice address
3400 Computer Dr
Genzyme Genetics MDL
Westborough, MA 01581-1771
Phone
(508) 389-6675
Fax
(508) 389-5548
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Molecular Genetics Physician 207SG0203X 2005028 MA Primary

Addresses

Primary practice location

3400 Computer Dr
Genzyme Genetics MDL
Westborough, MA 01581-1771

Mailing address

3400 Computer Dr
Genzyme Genetics MDL
Westborough, MA 01581-1771
Phone (508) 389-6675

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2005028MAMDClinical Molecular Genetics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exosome Diagnostics, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1164617221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 COMPUTER DR",
            "address_2": "GENZYME GENETICS MDL",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811771",
            "telephone_number": "508-389-6675",
            "fax_number": "508-389-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 COMPUTER DR",
            "address_2": "GENZYME GENETICS MDL",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811771",
            "telephone_number": "508-389-6675",
            "fax_number": "508-389-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER CASTRO",
        "first_name": "NICOLE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "MA",
            "license": "2005028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.