Individual provider Active NPI

Krystle A Castillo, APN

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1801244173
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350211 Issued in NY
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

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170615000640 NJ Practitioner - Nurse Practitioner 7517235583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021068CAMDFamily Nurse Practitioner
209024672ILMDFamily Nurse Practitioner
RN2374115MAMDFamily Nurse Practitioner
350211NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of New Jersey Medical PC CurrentSince Jan 12, 2025 Accepting new patients
Eden Health Medical of Texas, PA PastSince Sep 15, 2024 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.

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

Verify at the official NPI Registry.