Individual provider Active NPI

Cristian Castro-Nunez, MD

  • Family Medicine Physician
  • Newburgh, NY
National Provider Identifier
1497829675
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
237729-1 Issued in NY
Practice address
70 Dubois Street
St Luke'S Cornwall Hospital
Newburgh, NY 12550-4825
Phone
(845) 568-2827
Fax
(845) 568-2851
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 237729-1 NY Primary

Addresses

Primary practice location

70 Dubois Street
St Luke'S Cornwall Hospital
Newburgh, NY 12550-4825

Mailing address

18 Orchard St
Ste 100
Middletown, NY 10940-5005
Phone (845) 467-4735

Other identifiers 1

IdentifierTypeStateIssuer
02734421MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000421 NY Practitioner - Family Practice 5092723296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Orchard St
Suite 100
Middletown, NY 10940-5005
Phone (845) 467-4735

Hospital & facility affiliations

  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237729-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Home Medical Office, P.C. Family Medicine CurrentSince Jun 23, 2013 Accepting new patients
Garnet Health Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1497829675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ORCHARD ST",
            "address_2": "STE 100",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405005",
            "telephone_number": "845-467-4735",
            "fax_number": "845-467-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DUBOIS STREET",
            "address_2": "ST LUKE'S CORNWALL HOSPITAL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504825",
            "telephone_number": "845-568-2827",
            "fax_number": "845-568-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO-NUNEZ",
        "first_name": "CRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237729-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02734421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.