Lisa Castenova, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA001570L Issued in PA

Practice address

5800 Ridge Avenue
Roxborough Memorial Hospital
Philadelphia, PA 19128

Phone

(215) 487-4312

Fax

(215) 487-4689

NPI assigned

Jul 12, 2012

Last updated

May 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lisa M. Hernandez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Princeton Pathology Services PLLC

  dba Pathlink of Pennsylvania PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bristol, PA
  • NPI 1619480936
  NPD
• Prime Healthcare Services-Roxborough Providers LLC

  • Psychologist
  • Philadelphia, PA
  • NPI 1649525627

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1699030874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVENUE",
            "address_2": "ROXBOROUGH MEMORIAL HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-487-4312",
            "fax_number": "215-487-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVENUE",
            "address_2": "ROXBOROUGH MEMORIAL HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-487-4312",
            "fax_number": "215-487-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTENOVA",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001570L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HERNANDEZ",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph Henry Castellanos, MD
• Mackenzie Castellanos
• Sydney Lindsay Castellanos
• Janet Amanda Castellini, M.S.S., L.C.S.W.
• Katie Woo Castelo, CRNP
• Joseph Caster, MD
• Anna Christine Castiglia, CRNP
• James A Castiglione, MD
• Tiernan Connor Castile, MD
• Ruby Castilla-Puentes, MD, DRPH, MBA

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.