Glenn Y Castaneda, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

217754 Issued in NY

Practice address

21 Fox St.
Suite 102
Poughkeepsie, NY 12601-4723

Phone

(845) 452-9750

Fax

(845) 452-9751

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

NeurologyAlso: Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eriver Neurology of New York LLCGroup PAC ID 5193759033, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gcastaneda@direct.health-quest.org
• FHIR API: https://fhir4.healow.com/fhir/r4/HJIAAA

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.

• Eriver Neurology of New York. LLC

  dba eRiver Neurology of NY LLC

  • Neurology Physician
  • Fishkill, NY
  • NPI 1811064520
  Medicare reassignment Care Compare group NPD
• Nuvance Health Medical Practice PC

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1437358033
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1821090333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FOX ST.",
            "address_2": "SUITE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014723",
            "telephone_number": "845-452-9750",
            "fax_number": "845-452-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FOX ST.",
            "address_2": "SUITE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014723",
            "telephone_number": "845-452-9750",
            "fax_number": "845-452-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "GLENN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "217754",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "217754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01821058",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susana Casales, PTA
• Melissa Rose Cascio, BSW
• Nancy A Case, R.D.
• Christina Casey
• Judith Cassidy, RN
• Katie Lynn Castell, LCSW-R
• Castello Chiropractic PLLC
• Angelo Castello, D.C.
• Andrea Casteloni, LPN
• Francis Adan Castiller, MD

• Neurology with Special Qualifications in Child Neurology Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.