Active NPI
Lourdes Castaneda Castillo, M.D
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1902851629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 164898
- Practice address
- 585 Schenectady Ave
Brooklyn, NY 11203-1809 - Phone
- (718) 604-5292
- Fax
- (718) 604-5527
- NPI assigned
- May 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 164898 | NY | Primary |
Addresses
Primary practice location
585 Schenectady Ave
Brooklyn, NY 11203-1809
Mailing address
585 Schenectady Ave
Managed Care Dept. - 6TH Floor, Blumberg BLDG.
Brooklyn, NY 11203-1809
Phone (718) 604-5469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00943568 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingsbrook Medical Associates, PC | Past | Accepting new patients | |
| Kingsbrook Medical Associates PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1770844797
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1104112838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1902851629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 SCHENECTADY AVE",
"address_2": "MANAGED CARE DEPT. - 6TH FLOOR, BLUMBERG BLDG.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031809",
"telephone_number": "718-604-5469",
"fax_number": "718-604-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 SCHENECTADY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031809",
"telephone_number": "718-604-5292",
"fax_number": "718-604-5527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "LOURDES",
"middle_name": "CASTANEDA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "164898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00943568",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.