CASTILLO & CASTILLO MD NPI 1295851327

NPI Information

NPI: 1295851327
Provider Name: CASTILLO & CASTILLO MD
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 31D2264554

Address:
5801 BROADWAY
WEST NEW YORK, NJ
ZIP 07093
Phone: (201) 869-4044
Get Directions

CASTILLO & CASTILLO MD is a health service clinic center in West New York, NJ. CASTILLO & CASTILLO MD NPI is 1295851327. The provider is registered as an organization entity type.

The provider's business location address is:

5801 BROADWAY
WEST NEW YORK, NJ
ZIP 07093-719
Phone: (201) 869-4044
Fax: (201) 869-4105

The provider's authorized official is Rodrigo I Castillo .
The authorized official title is Physician and has the following contact phone number (201) 869-4044.

The CLIA number assigned to this NPI record is 31D2264554 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 11/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	55180	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1757806	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »