Ismael Alfredo Castaneda

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

354046 Issued in NY

Practice address

274 Lenox Ave
Paterson, NJ 07502-1330

Phone

(201) 895-9172

NPI assigned

May 9, 2024

Last updated

May 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1972351427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 LENOX AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021330",
            "telephone_number": "201-895-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 LENOX AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021330",
            "telephone_number": "201-895-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "ISMAEL",
        "middle_name": "ALFREDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen's Pharmacy & Medical Supplies, Inc (Carmen's Medical Supply)
• Carmens Pharmacy & Medical Supplies Inc (Carmens Pharmacy and Medical Supply)
• Karla Carollo
• Maria C Carvalho Olarte, DO
• Cynthia L Castaneda, LPC
• Katerine M Castillo Jimenez
• Alzie O Castillo
• Hector Luis Castillo, MD
• Jenniffer Lorena Castro Castro
• Anthony Catapano, DO

• Family Nurse Practitioner in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.