Active NPI
Jenna Marie Castro, DNP
- Nurse Practitioner
- Bronx, NY
National Provider Identifier
1821728411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 622155
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 622155 | NY | MD | Nurse 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.