MARIGOLD CASTILLO MD NPI 1558941526

NPI Information

NPI: 1558941526
Provider Name: MARIGOLD CASTILLO MD
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
4205 FRANCIS LEWIS BLVD
BAYSIDE, NY
ZIP 11361
Phone: (718) 631-2273
Get Directions

MARIGOLD CASTILLO MD is an adolescent medicine pediatrics in Bayside, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. MARIGOLD CASTILLO MD NPI is 1558941526. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4205 FRANCIS LEWIS BLVD
BAYSIDE, NY
ZIP 11361-573
Phone: (718) 631-2273
Fax: (718) 631-2278

The provider's authorized official is Marigold Castillo .
The authorized official title is Owner and has the following contact phone number (718) 631-2273.

The enumeration date for this NPI number is 4/13/2021 and was last updated on 4/13/2021.

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	2080A0000X	Pediatrics	Adolescent Medicine		MARYLAND	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	03493203	MEDICAID	NEW YORK

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

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