Individual provider Active NPI

Bartolomeo Vincent Castellano, MD

  • Otolaryngology Physician
  • Staten Island, NY
National Provider Identifier
1336122548
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
143837 Issued in NY
Practice address
2052 Richmond Rd
1C
Staten Island, NY 10306-2548
Phone
(718) 273-2626
Fax
(718) 420-1289
NPI assigned
Nov 22, 2005
Last updated
Jul 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 143837 NY Primary

Addresses

Primary practice location

2052 Richmond Rd
1C
Staten Island, NY 10306-2548

Mailing address

2052 Richmond Road Suite
1C
Staten Island, NY 10306-2149
Phone (718) 273-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000988 NY Practitioner - Otolaryngology 3274713714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

One Gustave L Levy Place
Head and Neck Surgery Dept of Otolaryngolog
New York, NY 10029-6574
Phone (212) 241-9410

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Otolaryngology CurrentSince Jul 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

2052 Richmond Rd
Ste 1C
Staten Island, NY 10306
Phone (718) 273-2626

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1336122548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND ROAD SUITE",
            "address_2": "1C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062149",
            "telephone_number": "718-273-2626",
            "fax_number": "718-420-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD",
            "address_2": "1C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062548",
            "telephone_number": "718-273-2626",
            "fax_number": "718-420-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "BARTOLOMEO",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "143837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.