Individual provider Active NPI

Manuela Carvalho Castro

  • Family Nurse Practitioner
  • Princeton, NJ
National Provider Identifier
1366229072
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14912600 Issued in NJ
Practice address
10 Forrestal Rd S Ste 206
Princeton, NJ 08540-6666
Phone
(609) 921-8800
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14912600 NJ Primary

Addresses

Primary practice location

10 Forrestal Rd S Ste 206
Princeton, NJ 08540-6666

Mailing address

10 Forrestal Rd S Ste 206
Princeton, NJ 08540-6666
Phone (609) 921-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214002264 NJ Practitioner - Nurse Practitioner 3072962158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton ENT and Sleep LLCGroup PAC ID 8628317534, 2 clinicians

Practice addresses (Care Compare)

10 Forrestal Rd S
Suite 206
Princeton, NJ 08540-6666
Phone (609) 921-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14912600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton ENT and Sleep LLC CurrentSince Nov 1, 2023 Accepting new patients
Princeton Ear Nose & Throat PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

10 Forrestal Rd S
Ste 206
Princeton, NJ 08540
Phone (609) 921-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22696/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20759/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1366229072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FORRESTAL RD S STE 206",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406666",
            "telephone_number": "609-921-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORRESTAL RD S STE 206",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406666",
            "telephone_number": "609-921-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MANUELA",
        "middle_name": "CARVALHO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14912600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.