Organization Active NPI

Oscar Castillo Podiatrist PLLC

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
National Provider Identifier
1316313752
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OSCAR CASTILLO PODIATRIST PLLC
Practice address
820 Lydig Ave
Bronx, NY 10462-2106
Phone
(718) 792-5900
NPI assigned
Aug 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Oscar Castillo, DPMNPI 1184974735
Title
President
Phone
(718) 792-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

820 Lydig Ave
Bronx, NY 10462-2106

Mailing address

5728 163Rd St
Fresh Meadows, NY 11365-1439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151110000845 NY Part B Supplier - Clinic/Group Practice 5698085314 Receives reassigned benefits from 2 practitioners
Practice locations: Bronx, NY; Ossining, NY
O20200429002521 NY DME Supplier - Physician - Podiatry 5698085314 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

2425 Eastchester Rd
Fl 2
Bronx, NY 10469
Phone (718) 405-7500

3917 Union St
Flushing, NY 11354
Phone (718) 460-4191

Practitioners & affiliated clinicians

Practitioners 4

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": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1316313752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 163RD ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622106",
            "telephone_number": "718-792-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR CASTILLO PODIATRIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-792-5900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.