Individual provider Active NPI

Anthony W Castellano, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Far Rockaway, NY
National Provider Identifier
1952528580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006496-1 Issued in NY
Practice address
2124 Camp Rd
Far Rockaway, NY 11691-2721
Phone
(718) 327-0207
Fax
(718) 327-1225
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 006496-1 NY Primary

Addresses

Primary practice location

2124 Camp Rd
Far Rockaway, NY 11691-2721

Mailing address

7576 178TH St
Fresh Meadows, NY 11366-1628
Phone (718) 969-3045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140714001836 NY Order and Referring Only - Physician Assistant 1557586237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006496-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mekala Ramgopal PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anc9128@direct.nyp.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952528580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7576 178TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661628",
            "telephone_number": "718-969-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CAMP RD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912721",
            "telephone_number": "718-327-0207",
            "fax_number": "718-327-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "ANTHONY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006496-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.