Ilene Sue Castaldo, NP C
Individual provider Active NPI Nurse Practitioner · East Fishkill, NY
NPI 1902893100 · NPPES record last updated Feb 27, 2023
Key facts
- NPI
- 1902893100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F3344901 (NY)
- Practice address
- 2070 Route 52
East Fishkill, NY 12533-3507 - Phone
- (845) 894-5247
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3344901 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Blood &Cancer Medical Care,PC | Past | Accepting new patients | |
| Hudson Valley Cardiologists,PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F3344901 | NY | Yes |
Addresses
Primary practice location
2070 Route 52
East Fishkill, NY 12533-3507
Mailing address
2 Farm Meadow LN
Montgomery, NY 12549-2100
Phone (845) 220-8331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02635129 | Medicaid | NY |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.