Active NPI
Jennifer A. Castro, M.D.
- Surgery Physician
- West Islip, NY
National Provider Identifier
1477718039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 248073
- Practice address
- 580 Union Blvd
West Islip, NY 11795-3105 - Phone
- (631) 321-6801
- Fax
- (631) 321-3869
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 248073 | NY | Primary |
Addresses
Primary practice location
580 Union Blvd
West Islip, NY 11795-3105
Mailing address
580 Union Blvd
West Islip, NY 11795-3105
Phone (631) 321-6801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248073 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1477718039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 UNION BLVD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953105",
"telephone_number": "631-321-6801",
"fax_number": "631-321-3869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 UNION BLVD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953105",
"telephone_number": "631-321-6801",
"fax_number": "631-321-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "JENNIFER",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "248073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.