Organization Active NPI

Jose Castaneda MD,PA

Doing business as Jose F Castaneda MD,PA

  • Obstetrics & Gynecology Physician
  • Boynton Beach, FL
National Provider Identifier
1700483195
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JOSE CASTANEDA MD,PA
Doing business as
Jose F Castaneda MD,PA
Martin Castaneda
Practice address
250 SE 23Rd Ave Ste a
Boynton Beach, FL 33435-7659
Phone
(561) 737-2085
Fax
(561) 369-3043
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Jose F Castaneda, MDNPI 1912091695
Title
Physician
Phone
(561) 737-2085

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
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

250 SE 23Rd Ave Ste a
Boynton Beach, FL 33435-7659

Mailing address

250 SE 23Rd Ave Ste a
Boynton Beach, FL 33435-7659
Phone (561) 737-2085

Other practice location 1

3144 S Congress Ave
Palm Springs, FL 33461-2552
Phone (561) 969-3511

Other names 2

  • Jose F Castaneda MD,PA Doing business as
  • Martin Castaneda Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201223001422 FL Part B Supplier - Clinic/Group Practice 2961814595 Receives reassigned benefits from 3 practitioners
Practice locations: Boynton Beach, FL; Palm Springs, FL

National Provider Directory

National Provider Directory
Tax ID family
Jose Castaneda MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 SE 23rd Ave
Boynton Beach, FL 33435

3144 S Congress Ave
#F
Palm Springs, FL 33461
Phone (561) 969-3511

Practitioners & affiliated clinicians

Practitioners 4

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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1700483195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SE 23RD AVE STE A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357659",
            "telephone_number": "561-737-2085",
            "fax_number": "561-369-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SE 23RD AVE STE A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357659",
            "telephone_number": "561-737-2085",
            "fax_number": "561-369-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3144 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334612552",
            "country_code": "US",
            "telephone_number": "561-969-3511",
            "fax_number": "561-369-3043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSE CASTANEDA MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-737-2085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jose F Castaneda MD,PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jose F Castaneda MD,PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin Castaneda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.