Active NPI
Omar Alexander Castillo Jr., LMSW
- Social Worker
- Astoria, NY
National Provider Identifier
1548627730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105355
- Practice address
- 3160 21St St
Astoria, NY 11106-4520 - Phone
- (347) 882-1422
- NPI assigned
- Jan 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 105355 | NY | Primary |
Addresses
Primary practice location
3160 21St St
Astoria, NY 11106-4520
Mailing address
Mount Sinai Hospital, 1 Gustave L. Levy Place
New York, NY 10029
Phone (347) 882-1422
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105355 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1548627730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MOUNT SINAI HOSPITAL, 1 GUSTAVE L. LEVY PLACE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "347-882-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 21ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111064520",
"telephone_number": "347-882-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "OMAR",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-20",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "105355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.