Organization Active NPI

Castro Chiropractic, PLLC

  • Chiropractor
  • Pearl River, NY
National Provider Identifier
1588993588
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011743-1 Issued in NY
Legal business name
CASTRO CHIROPRACTIC, PLLC
Practice address
300 N Middletown Rd
Suite 2
Pearl River, NY 10965-1262
Phone
(845) 620-0939
Fax
(845) 620-0940
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Dr. Raphael Castro II, D.C.
Title
Owner, Doctor of Chiropractic
Phone
(845) 642-9365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011743-1 NY Primary

Addresses

Primary practice location

300 N Middletown Rd
Suite 2
Pearl River, NY 10965-1262

Mailing address

300 N Middletown Rd
Suite 2
Pearl River, NY 10965-1262
Phone (845) 620-0939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1588993588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MIDDLETOWN RD",
            "address_2": "SUITE 2",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651262",
            "telephone_number": "845-620-0939",
            "fax_number": "845-620-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MIDDLETOWN RD",
            "address_2": "SUITE 2",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651262",
            "telephone_number": "845-620-0939",
            "fax_number": "845-620-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTRO CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "OWNER, DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "845-642-9365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011743-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.