Active NPI
Karen Lissette Castro Molina
- Emergency Medicine Physician
- Bronx, NY
National Provider Identifier
1821479775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 296021
- Practice address
- 4422 3Rd Ave
Bronx, NY 10457-2545 - Phone
- (347) 205-7448
- NPI assigned
- Jun 16, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 296021 | NY | Primary |
Addresses
Primary practice location
4422 3Rd Ave
Bronx, NY 10457-2545
Mailing address
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (347) 205-7448
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBH Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Open Door Family Medical Center Inc | Current | Accepting new patients | |
| SBH Physicians, PC | Current | Accepting new patients | |
| Open Door Family Medical Center Inc | Current | Accepting new patients | |
| Quarry Road Emergency Services P.C. | Emergency Medicine | Past | Accepting new patients |
| Open Door Family Medical Center, Inc. | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
165 Main St
Ossining, NY 10562
Phone (914) 941-1263
5 Grace Church St
Port Chester, NY 10573
Phone (914) 937-8899
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAJCAA
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Port Chester, NY
- NPI 1285893719
-
- Federally Qualified Health Center (FQHC)
- Sleepy Hollow, NY
- NPI 1619136140
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
-
- Federally Qualified Health Center (FQHC)
- Ossining, NY
- NPI 1467487637
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1134238199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1821479775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104572545",
"telephone_number": "347-205-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104572545",
"telephone_number": "347-205-7448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO MOLINA",
"first_name": "KAREN",
"middle_name": "LISSETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "296021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.