Active NPI
Maja Theresa Castillo, M.D
- Pediatrics Physician
- New York, NY
National Provider Identifier
1518045350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 242166
- Practice address
- 157 W 118TH St Apt 1
New York, NY 10026-1808 - Phone
- (917) 330-0496
- NPI assigned
- Nov 1, 2006
- Last updated
- Dec 2, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 242166 | NY | Primary |
Addresses
Primary practice location
157 W 118TH St Apt 1
New York, NY 10026-1808
Mailing address
157 W 118TH St Apt 1
New York, NY 10026-1808
Phone (917) 330-0496
Other practice location 1
15 Warren St.
New York, NY 10007
Phone (212) 226-7666
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1518045350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 W 118TH ST APT 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261808",
"telephone_number": "917-330-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 W 118TH ST APT 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261808",
"telephone_number": "917-330-0496"
}
],
"practiceLocations": [
{
"address_1": "15 Warren St.",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10007",
"country_code": "US",
"telephone_number": "212-226-7666",
"fax_number": "212-202-7988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "MAJA",
"middle_name": "THERESA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "242166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.