Individual provider Active NPI

Ma.Victoria Castaneda Juanito, RN

  • Developmentally Disabled Services Day Training Agency
  • New York, NY
National Provider Identifier
1194963207
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
578395 Issued in NY
Practice address
122 E 23Rd St
New York, NY 10010-4516
Phone
(212) 677-7400
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 578395 NY Primary

Addresses

Primary practice location

122 E 23Rd St
New York, NY 10010-4516

Mailing address

212 E 77TH St Apt 4C
New York, NY 10075-2185
Phone (646) 726-4047

Other names 1

  • Miss Ma. Victoria Tiongco Castaneda Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
578395NYMDDevelopmentally Disabled Services Day Training Agency

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1194963207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 77TH ST APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100752185",
            "telephone_number": "646-726-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104516",
            "telephone_number": "212-677-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUANITO",
        "first_name": "MA.VICTORIA",
        "middle_name": "CASTANEDA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "578395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA. VICTORIA",
            "last_name": "CASTANEDA",
            "middle_name": "TIONGCO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.