Katerine M Castillo Jimenez

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

P9R4Z2B3 Issued in NJ

Practice address

422 E 24TH St
Paterson, NJ 07514-2326

Phone

(973) 330-6754

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1609416908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E 24TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075142326",
            "telephone_number": "973-330-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E 24TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075142326",
            "telephone_number": "973-330-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO JIMENEZ",
        "first_name": "KATERINE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NJ",
            "license": "P9R4Z2B3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@katerinecastillo.com",
            "affiliation": "N",
            "address_1": "422 E 24th St",
            "city": "Paterson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "075142326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmens Pharmacy & Medical Supplies Inc
• Karla Carollo
• Maria C Carvalho Olarte, DO
• Cynthia L Castaneda, LPC
• Ismael Alfredo Castaneda
• Alzie O Castillo
• Hector Luis Castillo, MD
• Jenniffer Lorena Castro Castro
• Anthony Catapano, DO
• Catholic Family & Community Services

• Phlebotomy Technician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Phlebotomy Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.