Active NPI
Albert Castro Marcano, NP
- Primary Care Nurse Practitioner
- Jackson Heights, NY
National Provider Identifier
1861572562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F303584
- Practice address
- 9317 Roosevelt Ave
2ND Floor
Jackson Heights, NY 11372-7943 - Phone
- (718) 424-1557
- Fax
- (718) 424-1559
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | F303584 | NY | Primary |
Addresses
Primary practice location
9317 Roosevelt Ave
2ND Floor
Jackson Heights, NY 11372-7943
Mailing address
9317 Roosevelt Ave
Second Floor
Jackson Heights, NY 11372-7943
Phone (718) 424-1557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00246075 | Medicaid | NY |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F303584 | NY | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1861572562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9317 ROOSEVELT AVE",
"address_2": "SECOND FLOOR",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727943",
"telephone_number": "718-424-1557",
"fax_number": "718-424-1559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9317 ROOSEVELT AVE",
"address_2": "2ND FLOOR",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727943",
"telephone_number": "718-424-1557",
"fax_number": "718-424-1559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCANO",
"first_name": "ALBERT",
"middle_name": "CASTRO",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "F303584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00246075",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
- Theodora Manolas, PHARM.D.
- Marina Osores Manrique, M.D.
- Haidee Urbina Manzano, PT
- Marc a Rosenblatt MD LLC
- Marc Waldman,DPM PC
- Marcel M Admoni (Next Generation Eye Care)
- Marcel Mordechai Admoni, M.D., P.C. (Next Generation Eye Care)
- Christine Marchetti, RVT, RDSC
- Marco a. Garcia, MD, PC
- Elizabeth Marcus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.