Active NPI
Melissa Castillo, M.D.
- Pediatrics Physician
- Brick, NJ
National Provider Identifier
1306377841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA10837500
- Practice address
- 2119 Route 88 E
Brick, NJ 08724-3227 - Phone
- (732) 899-0008
- Fax
- (732) 899-0447
- NPI assigned
- Mar 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA10837500 | NJ | Primary |
Addresses
Primary practice location
2119 Route 88 E
Brick, NJ 08724-3227
Mailing address
2119 Route 88 E
Brick, NJ 08724-3227
Phone (732) 899-0008
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10837500 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Care Physicians, LLC | Pediatrics | Current | Accepting new patients |
Locations
2119 Route 88 E
Brick, NJ 08724
Phone (609) 756-9206
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Brick, NJ
- NPI 1790814127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1306377841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 ROUTE 88 E",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243227",
"telephone_number": "732-899-0008",
"fax_number": "732-899-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 ROUTE 88 E",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243227",
"telephone_number": "732-899-0008",
"fax_number": "732-899-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-26",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA10837500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.