Individual provider Active NPI

Elizabeth Frances Castronovo, AGNP-BC

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1184012221
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
261552 Issued in MA
Practice address
133 Brookline Ave
Gastroenterology
Boston, MA 02215-3904
Phone
(671) 421-1380
NPI assigned
Dec 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 261552 MA Primary
Gerontology Nurse Practitioner 363LG0600X 261552 MA

Addresses

Primary practice location

133 Brookline Ave
Gastroenterology
Boston, MA 02215-3904

Mailing address

26 Lloyd St
Winchester, MA 01890-2910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326000082 MA Practitioner - Nurse Practitioner 6507183803 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
261552MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince May 26, 2016 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince May 26, 2016 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince May 26, 2016 Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

20 Prospect St
Ste 2
Milford, MA 01757

Interoperability endpoints

  • Direct secure messaging: castronovo.elizabeth.dfci@direct.partners.masshiway.net

Organizations & group practices 3

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": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1184012221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LLOYD ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BROOKLINE AVE",
            "address_2": "GASTROENTEROLOGY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153904",
            "telephone_number": "671-421-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRONOVO",
        "first_name": "ELIZABETH",
        "middle_name": "FRANCES",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "261552",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "261552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.