Maria Lorraine T Castaneda, FNP
Individual provider Active NPI Family Nurse Practitioner · Cortlandt Manor, NY
NPI 1457537631 · NPPES record last updated Mar 30, 2016
Key facts
- NPI
- 1457537631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F335323-1 (NY)
- Practice address
- 165 Watch Hill Rd
Cortlandt Manor, NY 10567-7004 - Phone
- (914) 293-7486
- NPI assigned
- Jan 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220517002333 | NY | Practitioner - Nurse Practitioner | 3476930280 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F335323-1 | NY | MD | Family Nurse Practitioner |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Bronx Medical Associates PC | Current |
Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mcastaneda833194@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F335323-1 | NY | Yes |
Addresses
Primary practice location
165 Watch Hill Rd
Cortlandt Manor, NY 10567-7004
Mailing address
165 Watch Hill Rd
Cortlandt Manor, NY 10567-7004
Phone (914) 293-7486
Other providers in Cortlandt Manor, NY
- Phillip Calenda
- Calov'S Kindercare Inc
- Sherine Campbell
- Mariana Itzel Cantu
- Cardiology Consultants of Westchester
- Jennifer Ann Catalano
- Steven Cataldo
- Catharine Field Home
- Catherine Anesi, LCSW, PC
- Susan T Cavanagh
All providers in Cortlandt Manor, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.