Stella M Castro, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

227714 Issued in NY

Practice address

4402 Medical Center Dr
Suite 402
Fayetteville, NY 13066-6626

Phone

(315) 663-0005

Fax

(315) 663-0097

NPI assigned

Apr 23, 2007

Last updated

Mar 25, 2014By 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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Asthma & Allergy Associates P.C.

  • Allergy Physician
  • Ithaca, NY
  • NPI 1063503191
  Medicare reassignment NPD
• Allergy Asthma Immunology of Rochester, PC

  • Allergy & Immunology Physician
  • Rochester, NY
  • NPI 1043288293
  NPD (past)
• Southern College of Optometry

  • Optometrist
  • Memphis, TN
  • NPI 1851384986
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1740408731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 MEDICAL CENTER DR",
            "address_2": "SUITE 402",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666626",
            "telephone_number": "315-663-0005",
            "fax_number": "315-663-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 MEDICAL CENTER DR",
            "address_2": "SUITE 402",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666626",
            "telephone_number": "315-663-0005",
            "fax_number": "315-663-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "STELLA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "227714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Geralyn Cannon, LCSW
• Phillip Capozzi, MD
• Melissa Carman, PH.D.
• Gavin Geoffrey Carvey, PHARMD
• Patrick F Casey, PH.D.
• Joseph A Catania, D.D.S., M.P.H.
• Cecelia Maalouf, Licensed Creative Arts Therapist, PLLC (New Leaf Art Therapy)
• Christopher P. Cederquist, MSW
• Kathleen Cerro, CSW
• Carrol C Chambers, NP

• Allergy & Immunology Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.