Individual provider Active NPI

Mario E Castro, NYS HIS

  • Hearing Instrument Specialist
  • Melville, NY
National Provider Identifier
1912460981
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000038452 Issued in NY
Practice address
419 W Hills Rd
Melville, NY 11747-1045
Phone
(917) 513-7741
Fax
(631) 683-5638
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 14000038452 NY Primary

Addresses

Primary practice location

419 W Hills Rd
Melville, NY 11747-1045

Mailing address

419 W Hills Rd
Melville, NY 11747-1045
Phone (917) 513-7741

Other identifiers 1

IdentifierTypeStateIssuer
14000038452OtherNYNYS LISC

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

State licenses

LicenseStateTypeSpecialty
14000038452NYMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1912460981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W HILLS RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471045",
            "telephone_number": "917-513-7741",
            "fax_number": "631-683-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W HILLS RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471045",
            "telephone_number": "917-513-7741",
            "fax_number": "631-683-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MARIO",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "NYS HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000038452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LISC",
            "identifier": "14000038452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.