Individual provider Active NPI

Lillian Checchio Castellano, MD

  • Internal Medicine Physician
  • Parsippany, NJ
National Provider Identifier
1609089283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA064051 Issued in NJ
Practice address
99 Jefferson Rd
Ms 125
Parsippany, NJ 07054-2815
Phone
(973) 739-3518
Fax
(973) 739-3508
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA064051 NJ Primary

Addresses

Primary practice location

99 Jefferson Rd
Ms 125
Parsippany, NJ 07054-2815

Mailing address

99 Jefferson Rd
Ms 125
Parsippany, NJ 07054-2815
Phone (973) 739-3518

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA064051NJMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: lillian.checchio@340587261919236.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609089283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JEFFERSON RD",
            "address_2": "MS 125",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542815",
            "telephone_number": "973-739-3518",
            "fax_number": "973-739-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JEFFERSON RD",
            "address_2": "MS 125",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542815",
            "telephone_number": "973-739-3518",
            "fax_number": "973-739-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECCHIO CASTELLANO",
        "first_name": "LILLIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA064051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.