Individual provider Active NPI

Alicia Rose Castrello, FNP

  • Urology Physician
  • Liverpool, NY
National Provider Identifier
1366535833
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
F3336751 Issued in NY
Practice address
7246 Janus Park Dr
Liverpool, NY 13088-4839
Phone
(315) 458-3600
Fax
(315) 458-2760
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X F3336751 NY Primary

Addresses

Primary practice location

7246 Janus Park Dr
Liverpool, NY 13088-4839

Mailing address

7246 Janus Park Dr
Liverpool, NY 13088-4839
Phone (315) 458-3600

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3336751NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Medical Services PC CurrentSince Aug 31, 2010 Accepting new patients
Ipc Hospitalist Services of New York, P.C. Past Accepting new patients

Locations

132 Cayuga Rd
Ste 1C
Cheektowaga, NY 14225
Phone (716) 204-9711

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1366535833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7246 JANUS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884839",
            "telephone_number": "315-458-3600",
            "fax_number": "315-458-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7246 JANUS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884839",
            "telephone_number": "315-458-3600",
            "fax_number": "315-458-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRELLO",
        "first_name": "ALICIA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "F3336751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.