Individual provider Active NPI

Nicolas Andre Castellano

  • Critical Care Medicine (Internal Medicine) Physician
  • Mount Laurel, NJ
National Provider Identifier
1215194337
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
87954 Issued in GA
Practice address
13 Wood View Dr
Mount Laurel, NJ 08054-4515
Phone
(856) 206-9437
NPI assigned
May 16, 2008
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD036869 DC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 87954 GA Primary

Addresses

Primary practice location

13 Wood View Dr
Mount Laurel, NJ 08054-4515

Mailing address

13 Wood View Dr
Mount Laurel, NJ 08054-4515
Phone (856) 206-9437

Other identifiers 1

IdentifierTypeStateIssuer
102508993 0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, DE, VA, IL, GA, IN, CT, OH, TX, SC11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20101118000506 PA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1850587718 Reassigns benefits to 1 organization
I20200505000941 NY Practitioner - Internal Medicine 1850587718 Reassigns benefits to 1 organization
I20200526000309 DE Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 1850587718 Reassigns benefits to 1 organization
I20210324001808 VA Practitioner - Critical Care (Intensivists) 1850587718 Reassigns benefits to 1 organization
I20220625000098 IL Practitioner - Critical Care (Intensivists) 1850587718 Reassigns benefits to 1 organization
I20220831003258 GA Practitioner - Critical Care (Intensivists) 1850587718 Reassigns benefits to 1 organization
I20230208002857 IN Practitioner - Internal Medicine 1850587718 Reassigns benefits to 1 organization
I20230810003866 CT Practitioner - Internal Medicine 1850587718 Reassigns benefits to 1 organization
I20231030002475 OH Practitioner - Critical Care (Intensivists) 1850587718 Reassigns benefits to 1 organization
I20250902003387 TX Practitioner - Internal Medicine 1850587718 Reassigns benefits to 1 organization
I20260206003481 SC Practitioner - Internal Medicine 1850587718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Critical Care Physicians of Illinois LLCGroup PAC ID 7012179294, 41 clinicians
Cogent Healthcare of Texas PAGroup PAC ID 8628076924, 113 clinicians
Critical Care Physicians of Pennsylvania PCGroup PAC ID 2466610498, 51 clinicians
Sound Physicians Intensivists of Georgia PCGroup PAC ID 5193138634, 20 clinicians
Hospitalist Medicine Physicians of Delaware, PAGroup PAC ID 2062679772, 33 clinicians
Critical Care Physician of New York PCGroup PAC ID 4688825839, 43 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
SSM Health Good Samaritan
Mount Vernon, IL 62864-2402
Phone (618) 242-4600

2600 Saint Michael Dr
Texarkana, TX 75503-5220
Phone (903) 614-5110

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (866) 212-7753

3150 Horizon Rd
Rockwall, TX 75032-7805
Phone (469) 698-1000

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8000

640 S State St
Bayhealth Hospital Kent Campus
Dover, DE 19901-3530
Phone (302) 674-4700

70 Dubois St
FL 2
Newburgh, NY 12550-4851
Phone (845) 561-4400

801 N State St
Greenfield, IN 46140-1270
Phone (317) 462-5544

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD036869DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Intensivists of Georgia PC Critical Care Medicine CurrentSince Jun 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Fairfield Professional Cor Critical Care Medicine CurrentSince Sep 14, 2023 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Critical Care Medicine CurrentSince Mar 1, 2021 Accepting new patients
Critical Care Physician of New York PC Critical Care Medicine CurrentSince Mar 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Connecticut - TCS Internal Medicine CurrentSince Jun 28, 2023 Accepting new patients
Critical Care Physicians of Pennsylvania PC Critical Care Medicine CurrentSince Feb 1, 2012 Accepting new patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince May 14, 2022 Accepting new patients
Sound Physicians Intensivists of South Carolina LLC Critical Care Medicine CurrentSince Sep 8, 2025 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Intensivist Group of Pennsylvania, PC Internal Medicine Past Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine Past Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine Past Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Interoperability endpoints

  • Direct secure messaging: ncaste03@yourcarecommunity.org
  • Direct secure messaging: ncastellano359143@direct.wvuhsdirect.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1215194337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WOOD VIEW DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544515",
            "telephone_number": "856-206-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WOOD VIEW DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544515",
            "telephone_number": "856-206-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "NICOLAS",
        "middle_name": "ANDRE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD036869",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "87954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102508993 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.