Individual provider Active NPI

Luisa Rita Del Castillo, MD, F.A.A.P.

  • Pediatrics Physician
  • Red Bank, NJ
National Provider Identifier
1376549196
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA053793 Issued in NJ
Practice address
225 Route 35 Ste 102
Red Bank, NJ 07701-5919
Phone
(732) 530-5515
Fax
(732) 530-5516
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA05379300 NJ
Pediatrics Physician 208000000X MA053793 NJ Primary

Addresses

Primary practice location

225 Route 35 Ste 102
Red Bank, NJ 07701-5919

Mailing address

530 Prospect Ave
Ste 2a
Little Silver, NJ 07739-1444
Phone (732) 530-5515

Other identifiers 1

IdentifierTypeStateIssuer
4015207MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123000020 NJ Practitioner - Pediatric Medicine 6608287727 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05379300NJMDPediatrics Physician
MA053793NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Dec 1, 2020 Accepting new patients
Advocare , LLC CurrentSince Dec 1, 2020 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients
Felix Garcia MD Facs LLC Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: luisa.del.castillo.1@21847.direct.athenahealth.com
  • Direct secure messaging: luisa.delcastillo@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1376549196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PROSPECT AVE",
            "address_2": "STE 2A",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391444",
            "telephone_number": "732-530-5515",
            "fax_number": "732-530-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ROUTE 35 STE 102",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015919",
            "telephone_number": "732-530-5515",
            "fax_number": "732-530-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CASTILLO",
        "first_name": "LUISA",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "MD, F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05379300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA053793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4015207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.