Lauren Castillo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI03043400 Issued in NJ

Practice address

588 Eagle Rock Ave Ste 3
West Orange, NJ 07052-3620

Phone

(973) 674-1414

NPI assigned

Sep 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1417782020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COUNTY CENTER RD APT B-5",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071530",
            "telephone_number": "786-253-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 EAGLE ROCK AVE STE 3",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523620",
            "telephone_number": "973-674-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03043400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Lynn Carroll, PH.D.
• Cathy Sue Carter, O.T.R./L
• Lisette Helene Casagrande, M.D.
• Tiana Cash
• Christian Castellanos, FNP
• Simone Castor, PT
• Daisy Castro
• Thomas Joseph Cava, M.D.
• Natalie Ann Cavadini, D.P.T
• Larisa Cazeau, RN

• General Practice Dentistry in West Orange, NJ
• Providers in West Orange, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.