Organization Active NPI

Cast a Foot Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Hempstead, NY
National Provider Identifier
1700172582
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006326 Issued in NY
Legal business name
CAST A FOOT PODIATRY PC
Practice address
474 Fulton Ave
Suite 202
Hempstead, NY 11550-4101
Phone
(516) 493-9999
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Dr. Nicole M CastilloNPI 1225357197
Title
Ceo
Phone
(718) 685-8405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 006326 NY Primary

Addresses

Primary practice location

474 Fulton Ave
Suite 202
Hempstead, NY 11550-4101

Mailing address

474 Fulton Ave
Suite 202
Hempstead, NY 11550-4101
Phone (516) 493-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110714000455 NY Part B Supplier - Clinic/Group Practice 6204004500 Receives reassigned benefits from 1 practitioner
Practice locations: Hempstead, NY

National Provider Directory

National Provider Directory

Locations

474 Fulton Ave
Ste 202
Hempstead, NY 11550
Phone (516) 493-9999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1700172582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 FULTON AVE",
            "address_2": "SUITE 202",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504101",
            "telephone_number": "516-493-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 FULTON AVE",
            "address_2": "SUITE 202",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504101",
            "telephone_number": "516-493-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAST A FOOT PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-685-8405",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.