Individual provider Active NPI

Matthew M Castagna, PA

  • Physician Assistant
  • Pasadena, MD
National Provider Identifier
1932676756
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006984 Issued in NY
Practice address
33 Magothy Beach Rd Ste 102-103
Pasadena, MD 21122-4413
Phone
(410) 255-7900
Fax
(410) 255-7300
NPI assigned
Oct 30, 2018
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0006984 NY Primary

Addresses

Primary practice location

33 Magothy Beach Rd Ste 102-103
Pasadena, MD 21122-4413

Mailing address

33 Magothy Beach Rd Ste 102-103
Pasadena, MD 21122-4413
Phone (410) 255-7900

Other practice location 1

485 Ritchie Hwy Ste 102
Severna Park, MD 21146-2918
Phone (410) 255-7900 ext. 1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181206001466 MD Practitioner - Physician Assistant 9931443694 Reassigns benefits to 2 organizations
I20210324001410 DC Practitioner - Physician Assistant 9931443694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

1011 Baltimore Blvd
Westminster, MD 21157-7055
Phone (410) 848-3990

10490 Owings Mills Blvd
Owings Mills, MD 21117-7814
Phone (410) 363-7281

1307 Merritt Blvd
Dundalk, MD 21222-2109
Phone (410) 288-2121

1311 Londontown Blvd
Suite 130
Eldersburg, MD 21784-6556
Phone (410) 549-7222

1354 Eastern Blvd
Expresscare of Essex
Essex, MD 21221-3423
Phone (443) 231-5203

1470 Martin Blvd
Middle River, MD 21220-4105
Phone (443) 231-5203

1505 E Churchville Rd
Bel Air, MD 21014-4742

2327 Hanover Pike
Hampstead, MD 21074-1150
Phone (410) 848-3990

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2570 -72 Quarry Lake Dr
Expresscare of Quarry Lake
Baltimore, MD 21209-3759
Phone (443) 842-6238

4009 N Point Blvd
105 Expresscare of North Point
Dundalk, MD 21222-3619
Phone (410) 477-1039

5 Bel Air S Pkwy
Suite 1535
Bel Air, MD 21015-3816
Phone (410) 569-0044

504 E Ridgeville Blvd
A
Mount Airy, MD 21771-5942
Phone (301) 703-5452

7566 Ridge Rd
Hanover, MD 21076-1373
Phone (410) 904-5910

7700 Belair Rd
Baltimore, MD 21236-4004
Phone (410) 665-0670

7701 Harford Rd
Parkville, MD 21234-6403
Phone (410) 569-0069

8000 Loch Raven Blvd
Loch Raven, MD 21286-8337
Phone (410) 616-9027

9832 York Rd
Suite F
Cockeysville, MD 21030-4936
Phone (410) 628-1861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006984NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wisecare, LLC CurrentSince Nov 15, 2018 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Feb 1, 2021 Accepting new patients
MNR Industries, LLC CurrentSince Feb 1, 2021 Accepting new patients
MNR Industries, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

33 Magothy Beach Rd
Ste 102103
Pasadena, MD 21122
Phone (410) 255-7900

485 Ritchie Hwy
Ste 102
Severna Park, MD 21146
Phone (410) 255-7900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13394/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1932676756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD STE 102-103",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224413",
            "telephone_number": "410-255-7900",
            "fax_number": "410-255-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD STE 102-103",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224413",
            "telephone_number": "410-255-7900",
            "fax_number": "410-255-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Ritchie Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211462918",
            "country_code": "US",
            "telephone_number": "410-255-7900 x1001",
            "fax_number": "410-255-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTAGNA",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "C0006984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.