Active NPI
Krystle A Castillo, APN
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 350211
- Practice address
- 1285 Avenue of the Americas
Concourse Level
New York, NY 10019-6031 - Phone
- (332) 240-5400
- Fax
- (332) 240-5401
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00628800 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 350211 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | RN2374115 | MA | |
| Family Nurse Practitioner | 363LF0000X | 95021068 | CA | |
| Family Nurse Practitioner | 363LF0000X | 209024672 | IL |
Addresses
Primary practice location
1285 Avenue of the Americas
Concourse Level
New York, NY 10019-6031
Mailing address
1285 Avenue of the Americas
Concourse Level
New York, NY 10019-6031
Phone (332) 240-5400
Other practice location 1
755 Main Street
24th Floor
Hartford, CT 06103
Phone (917) 261-4414
Other practice location 2
823 Congress Ave Ste 300
Austin, TX 78701-2448
Phone (917) 261-4414
Other practice location 3
1 Post Office Sq
Boston, MA 02109-2106
Phone (917) 261-4414
Other practice location 4
480 Washington Blvd Fl 8
Jersey City, NJ 07310-2092
Phone (201) 763-1111
Other practice location 5
480 Washington Blvd Fl 8
Jersey City, NJ 07310-2092
Phone (201) 763-1111
Other practice location 6
530 5th Ave Fl 10
New York, NY 10036-5114
Phone (917) 261-4414
Other practice location 7
1110 N Virgil Ave
Los Angeles, CA 90029-2016
Phone (917) 261-4414
Other practice location 8
131 S Dearborn St Ste 1025
Chicago, IL 60603-5517
Phone (917) 261-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170615000640 | NJ | Practitioner - Nurse Practitioner | 7517235583 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95021068 | CA | MD | Family Nurse Practitioner |
| 209024672 | IL | MD | Family Nurse Practitioner |
| RN2374115 | MA | MD | Family Nurse Practitioner |
| 350211 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of New Jersey Medical PC | Current | Accepting new patients | |
| Eden Health Medical of Texas, PA | Past | Accepting new patients |
Locations
480 Washington Blvd
Fl 8
Jersey City, NJ 07310
Phone (201) 763-1111
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Jersey City, NJ
- NPI 1457068884
-
- Internal Medicine Physician
- Austin, TX
- NPI 1275116659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1801244173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 AVENUE OF THE AMERICAS",
"address_2": "CONCOURSE LEVEL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100196031",
"telephone_number": "332-240-5400",
"fax_number": "332-240-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 AVENUE OF THE AMERICAS",
"address_2": "CONCOURSE LEVEL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100196031",
"telephone_number": "332-240-5400",
"fax_number": "332-240-5401"
}
],
"practiceLocations": [
{
"address_1": "755 Main Street",
"address_2": "24th Floor",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "06103",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "823 Congress Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787012448",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Post Office Sq",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021092106",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "480 Washington Blvd Fl 8",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073102092",
"country_code": "US",
"telephone_number": "201-763-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "480 Washington Blvd Fl 8",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073102092",
"country_code": "US",
"telephone_number": "201-763-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 5th Ave Fl 10",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100365114",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1110 N Virgil Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900292016",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 S Dearborn St Ste 1025",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606035517",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "KRYSTLE",
"middle_name": "A",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00628800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "350211",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2374115",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95021068",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209024672",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.