Individual provider Active NPI

Jenna Marie Castro, DNP

  • Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1821728411
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
622155 Issued in NY
Practice address
1918 Height Avenue
2A
Bronx, NY 10461
Phone
(347) 657-3149
Fax
(646) 762-2574
NPI assigned
Jun 15, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 622155 NY Primary

Addresses

Primary practice location

1918 Height Avenue
2A
Bronx, NY 10461

Mailing address

43 Westchester Avenue
2ND Floor Ste 1
Bronx, NY 10461
Phone (646) 762-2573

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@tenderhomecare.org Direct Tender Care Homecare

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
622155NYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1821728411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WESTCHESTER AVENUE",
            "address_2": "2ND FLOOR STE 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "646-762-2573",
            "fax_number": "646-762-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 HEIGHT AVENUE",
            "address_2": "2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "347-657-3149",
            "fax_number": "646-762-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "622155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@tenderhomecare.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Tender Care Homecare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "43 Westchester Sq Frnt 2",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104613551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.