Individual provider Active NPI

Laura Juliana Castellanos Reyes, MD

  • Pediatric Nephrology Physician
  • New York, NY
National Provider Identifier
1811231806
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
276856 Issued in NY
Practice address
1 Gustave L Levy PL # 1664
New York, NY 10029-6504
Phone
(212) 241-6187
NPI assigned
Nov 15, 2012
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 276856 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1 Gustave L Levy PL # 1664
New York, NY 10029-6504

Mailing address

1 Gustave L Levy Place, Box 1664
New York, NY 10029
Phone (212) 241-6187

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170814000819 NY Practitioner - Pediatric MedicinePractitioner - Nephrology 3476824251 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jun 20, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 28, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jun 16, 2023 Accepting new patients
TJH Medical Services, P.C. CurrentSince Jul 1, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jun 16, 2023 Accepting new patients
MMC Pediatrics Faculty Practice Pediatric Nephrology CurrentSince Jun 20, 2023 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2017 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Jamaica Hospital CurrentSince Jul 1, 2017 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Lake Success Ophthalmic Associates PC PastSince Oct 1, 2007 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

300 Community Dr
Manhasset, NY 11030

26901 76th Ave
#344
New Hyde Park, NY 11040

410 Lakeville Rd
Ste 202
New Hyde Park, NY 11042
Phone (516) 216-1777

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lcastellanosreyes51825@northwell.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1811231806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PLACE, BOX 1664",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL # 1664",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS REYES",
        "first_name": "LAURA",
        "middle_name": "JULIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "276856",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.