Individual provider Active NPI

Kristina Paula Castro, FNP

  • Family Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1861174229
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351465 Issued in NY
Practice address
2715 30TH Ave
Astoria, NY 11102-2445
Phone
(718) 685-2300
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351465 NY Primary

Addresses

Primary practice location

2715 30TH Ave
Astoria, NY 11102-2445

Mailing address

6402 108TH St
Forest Hills, NY 11375-1604
Phone (718) 395-3788

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108003902 NY Practitioner - Nurse Practitioner 4385866136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

4119 Bell Blvd
Bayside, NY 11361-2858
Phone (929) 373-4480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
351465NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince Dec 24, 2024 Accepting new patients
Josef Schenker MD PC CurrentSince May 8, 2024 Accepting new patients
Hospice Spectrum LLC Current Accepting new patients

Locations

4119 Bell Blvd
Bayside, NY 11361
Phone (929) 373-4480

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

6402 108th St
Forest Hills, NY 11375
Phone (718) 395-3788

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

5505 Myrtle Ave
Ridgewood, NY 11385
Phone (347) 408-2387

265 Sunrise Hwy
Ste 20
Rockville Ctr, NY 11570
Phone (516) 268-0270

Interoperability endpoints

  • Direct secure messaging: kcastro57872@northwell.direct-ci.com
  • Direct secure messaging: kristina.castro@ghuc.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1861174229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751604",
            "telephone_number": "718-395-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022445",
            "telephone_number": "718-685-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KRISTINA",
        "middle_name": "PAULA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.