Individual provider Active NPI

Zenaida E Mulkay-Castillo, DMD

  • General Practice Dentistry
  • North Bergen, NJ
National Provider Identifier
1184634115
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI16517 Issued in NJ
Practice address
700 79TH St
North Bergen, NJ 07047-6385
Phone
(201) 854-8100
Fax
(201) 861-5636
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI16517 NJ Primary

Addresses

Primary practice location

700 79TH St
North Bergen, NJ 07047-6385

Mailing address

29 Ferndale Rd
Paramus, NJ 07652-2113
Phone (201) 854-8100

Other practice location 1

601 Main Ave
Passaic, NJ 07055-4921
Phone (973) 473-8188

Other identifiers 2

IdentifierTypeStateIssuer
16517OtherNJDELTA DENTAL
3629104MedicaidNJ

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

State licenses

LicenseStateTypeSpecialty
DI16517NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Dental Union City, LLC Past Accepting new patients
Castillo & Mulkay Dental, P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1184634115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FERNDALE RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522113",
            "telephone_number": "201-854-8100",
            "fax_number": "201-861-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 79TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476385",
            "telephone_number": "201-854-8100",
            "fax_number": "201-861-5636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070554921",
            "country_code": "US",
            "telephone_number": "973-473-8188",
            "fax_number": "973-458-1965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULKAY-CASTILLO",
        "first_name": "ZENAIDA",
        "middle_name": "E",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI16517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "16517",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3629104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.