Organization Active NPI

A J Castrovinci MD Inc

  • Dermatology Physician
  • Mentor on the Lake, OH
National Provider Identifier
1659683191
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35031291 Issued in OH
Legal business name
A J CASTROVINCI MD INC
Practice address
7915 Munson Rd
Mentor on the Lake, OH 44060-3744
Phone
(440) 951-2304
Fax
(440) 951-2304
NPI assigned
Jul 13, 2010
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. Anthony J Castrovinci, M DNPI 1477649713
Title
Owner/President
Phone
(440) 951-2304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35031291 OH Primary

Addresses

Primary practice location

7915 Munson Rd
Mentor on the Lake, OH 44060-3744

Mailing address

7915 Munson Rd
Mentor on the Lake, OH 44060-3744
Phone (440) 951-2304

National Provider Directory

National Provider Directory

Locations

7915 Munson Rd
Mentor on the Lake, OH 44060
Phone (440) 257-3800

7915 Munson Rd
Ste 4
Mentor on the Lake, OH 44060
Phone (440) 951-2304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1659683191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 MUNSON RD",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440603744",
            "telephone_number": "440-951-2304",
            "fax_number": "440-951-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 MUNSON RD",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440603744",
            "telephone_number": "440-951-2304",
            "fax_number": "440-951-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A J CASTROVINCI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "CASTROVINCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "440-951-2304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35031291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor on the Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.