Edgar A Flores-Castillo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

211365 Issued in NY

Practice address

4053 75TH St
Elmhurst, NY 11373-1011

Phone

(718) 426-6270

Fax

(718) 426-6341

NPI assigned

Jan 25, 2006

Last updated

Apr 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: eflorescastillo10290@nychhc.direct-ci.com

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.

• Edgar Flores-Castillo, MD PC

  dba Pediatric Plaza

  • Pediatrics Physician
  • Elmhurst, NY
  • NPI 1669735031
  NPD (past) Authorized official

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1396715850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 75TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731011",
            "telephone_number": "718-426-6270",
            "fax_number": "718-426-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 75TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731011",
            "telephone_number": "718-426-6270",
            "fax_number": "718-426-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES-CASTILLO",
        "first_name": "EDGAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "211365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01867376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Elliott Fisher, PSYD, MS.ED
• Hope Fisher, MD
• Sharon Fishman, CCC TSSLD
• Michael P. Fitzgerald, MD
• Flex Fit Physical Therapy PC
• Obed David Flores, PA-C
• Sandy Flores
• Virginia V Flores, RN
• Margie D Florez, CASAC
• Florid Leisure Acupuncture PC.

• Pediatrics Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.