Paola Castillo, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15082300 Issued in NJ

Practice address

46 Florence PL
Elmwood Park, NJ 07407-3048

Phone

(973) 864-0230

NPI assigned

Feb 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Wolke Chiropractic and Rehabilitation, PCGroup PAC ID 9537214549, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wolke Chiropractic & Rehabilitation, PC

  • Chiropractor
  • Haledon, NJ
  • NPI 1366511248

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Wolke Chiropractic & Rehabilitation, P.C.

  • Chiropractor
  • Verona, NJ
  • NPI 1881032019
  NPD

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1831495217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 FLORENCE PL",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073048",
            "telephone_number": "973-864-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FLORENCE PL",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073048",
            "telephone_number": "973-864-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "PAOLA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15082300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah W. Buzaid, M.D.
• Althea Evelina Cane
• Paola Andrea Cano, L.M.T
• Careway Medical Adult Day Care Corp
• Venus N Casareno
• Raul Patricio Castro
• Center for Excellence in Cataract & Eye Surgery
• Center for Family Support, New Jersey, Inc.
• Jason Cervera, MD
• Victor C Chanduvi, ST/SA

• Family Nurse Practitioner in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.