Organization Active NPI

Gisele Castelluber PA

  • Clinic/Center
  • Lyndhurst, NJ
National Provider Identifier
1275712978
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA68373 Issued in NJ
Legal business name
GISELE CASTELLUBER PA
Practice address
477 Stuyvesant Ave
Lyndhurst, NJ 07071-2625
Phone
(201) 933-2333
Fax
(201) 933-3885
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Gisele B Castelluber, MD
Title
President
Phone
(201) 933-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA68373 NJ Primary

Addresses

Primary practice location

477 Stuyvesant Ave
Lyndhurst, NJ 07071-2625

Mailing address

477 Stuyvesant Ave
Lyndhurst, NJ 07071-2625
Phone (201) 933-2333

Other identifiers 1

IdentifierTypeStateIssuer
8070806MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0985126Gisele Castelluber MD PA477 Stuyvesant Avenue, Lyndhurst, NJ 07071Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Locations

477 Stuyvesant Ave
Lyndhurst, NJ 07071
Phone (201) 933-2333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1275712978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 STUYVESANT AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712625",
            "telephone_number": "201-933-2333",
            "fax_number": "201-933-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 STUYVESANT AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712625",
            "telephone_number": "201-933-2333",
            "fax_number": "201-933-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GISELE CASTELLUBER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "CASTELLUBER",
        "authorized_official_first_name": "GISELE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-933-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MA68373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8070806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.