CASTILLO & CASTILLO MD NPI 1295851327

NPI Information

  • NPI: 1295851327
  • Provider Name: CASTILLO & CASTILLO MD
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 31D2264554
  • Address: 5801 BROADWAY
    WEST NEW YORK, NJ
    ZIP 07093
  • Phone: (201) 869-4044

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NPI Details

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
1261QH0100XClinic/CenterHealth Service55180NEW JERSEYYes

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
11757806MEDICAIDNEW 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: 11/21/2025

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