Organization Active NPI

Common Ground NP in Family Health Telehealth

  • Family Medicine Physician
  • Monroe, NY
National Provider Identifier
1396553582
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMON GROUND NP IN FAMILY HEALTH TELEHEALTH
Practice address
8 Hidden Creek Blvd
Monroe, NY 10950-4188
Phone
(718) 753-5592
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Mrs. Raquel Ines Castillo-Rodriguez, NP
Title
Owner
Phone
(718) 753-5592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8 Hidden Creek Blvd
Monroe, NY 10950-4188

Mailing address

8 Hidden Creek Blvd
Monroe, NY 10950-4188
Phone (718) 753-5592

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1396553582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HIDDEN CREEK BLVD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504188",
            "telephone_number": "718-753-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HIDDEN CREEK BLVD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504188",
            "telephone_number": "718-753-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND NP IN FAMILY HEALTH TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO-RODRIGUEZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "INES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-753-5592",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.