Active NPI
Cristian Castro-Nunez, MD
- Family Medicine Physician
- Newburgh, NY
National Provider Identifier
1497829675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 237729-1
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02734421 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237729-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Medical Office, P.C. | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Middletown, NY
- NPI 1174965412
Family Medicine, NY
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.