NPIMap

Organization Active NPI

Touro College of Osteopathic Medicine Omm Clinic

  • Family Medicine Physician
  • Middletown, NY
National Provider Identifier
1730958745
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOURO COLLEGE OF OSTEOPATHIC MEDICINE OMM CLINIC
Practice address
60 Prospect Avenue
Middletown, NY 10940
Phone
(845) 933-7500
Fax
(845) 933-7509
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Dr. Cristian Castro-Nunez, D.O.
Title
Medical Director, Omm Clinic
Phone
(845) 933-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

60 Prospect Avenue
Middletown, NY 10940

Mailing address

60 Prospect Avenue
Middletown, NY 10940
Phone (845) 933-7500

National Provider Directory

National Provider Directory
Tax ID family
Touro College4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1730958745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PROSPECT AVENUE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-933-7500",
            "fax_number": "845-933-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PROSPECT AVENUE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-933-7500",
            "fax_number": "845-933-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOURO COLLEGE OF OSTEOPATHIC MEDICINE OMM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "CASTRO-NUNEZ",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, OMM CLINIC",
        "authorized_official_telephone_number": "845-933-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.