NPIMap

Individual provider Active NPI

Marlo Karina Castelo, P.A-C

  • Medical Physician Assistant
  • Bethel, AK
National Provider Identifier
1942519061
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
031152 Issued in NY
Practice address
4108 Martha Larson
Unit B
Bethel, AK 99559
Phone
(305) 607-9517
NPI assigned
Oct 7, 2010
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 031152 NY Primary

Addresses

Primary practice location

4108 Martha Larson
Unit B
Bethel, AK 99559

Mailing address

700 Chief Eddie Hoffman Highway
Bethel, AK 99559
Phone (907) 543-6000

Other practice location 1

380 Rockaway Turnpike
Cedarhust, NY 11416
Phone (718) 868-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121221000350 FL Practitioner - Physician Assistant 6901079664 Reassigns benefits to 2 organizations
I20240223002196 NY Practitioner - Physician Assistant 6901079664 Reassigns benefits to 4 organizations
I20240827000819 NC Practitioner - Physician Assistant 6901079664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Primary Health LLCGroup PAC ID 9436420510, 46 clinicians
Lagrangeville Medical PCGroup PAC ID 8527440148, 24 clinicians

Practice addresses (Care Compare)

170 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 208-4460

71 Franklin Ave
Franklin SQ, NY 11010-2523
Phone (845) 738-8770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans Community Health CurrentSince Jan 1, 2024 Accepting new patients
Suffolk Primary Health, LLC CurrentSince Jan 1, 2026 Accepting new patients
Vantage Medical Associates PC CurrentSince Oct 1, 2025 Accepting new patients
Orleans Community Health CurrentSince Jan 1, 2024 Accepting new patients
Volusia & Flagler OB-GYN PA Past Accepting new patients

Locations

5308 13th Ave
Ste 334
Brooklyn, NY 11219

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

170 Old Country Rd
Riverhead, NY 11901
Phone (631) 208-4460

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCJCD

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1942519061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHIEF EDDIE HOFFMAN HIGHWAY",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "99559",
            "telephone_number": "907-543-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 MARTHA LARSON",
            "address_2": "UNIT B",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "99559",
            "telephone_number": "305-607-9517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Rockaway Turnpike",
            "address_purpose": "LOCATION",
            "city": "Cedarhust",
            "state": "NY",
            "postal_code": "11416",
            "country_code": "US",
            "telephone_number": "718-868-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELO",
        "first_name": "MARLO",
        "middle_name": "KARINA",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "031152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, AK

Sources for this page

Verify at the official NPI Registry.