JONATHAN MANUEL PEREZ CASTRO (NPI# 1093709479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093709479 |
| Entity Type | Individual |
| Full Name | JONATHAN MANUEL PEREZ CASTRO |
| Credential | MD |
| Practice Address |
2570 Route 9w Cornwall NY 12518-1323 |
| Mailing Address |
2 Coates Dr Goshen NY 10924-6758 |
| Practice Telephone | 8456511400 |
| Practice Fax Number | 8456511512 |
| Mailing Telephone | 8456511400 |
| Mailing Fax Number | 8456511512 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 002190 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
253533 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | A400036561 | 01 | |
| MEDICARE | 331832 | 01 | |
| NY | 00472931 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285105965 | Jonathan Marshall Castro | Marriage & Family Therapist | 2813 S Main St, Corona, CA 92882-5942 | 2018-12-06 |
| 1457821993 | Jonathan Ivan Castro | Physical Therapist | 8199 Navarre Pkwy Ste 12a, Navarre, FL 32566-6941 | 2018-11-27 |
| 1013417278 | Jonathan Castro | Case Manager/Care Coordinator | 232 E Gish Rd, San Jose, CA 95112-4706 | 2018-02-14 |
| 1366899411 | Jonathan Castro | Counselor | 770 Woodlane Road, Westampton, NJ 08060 | 2016-05-18 |
| 1750705661 | Jonathan Castro | Registered Nurse | 5980 W 71st St, Suite 102, Indianapolis, IN 46278-2711 | 2014-02-12 |
| 1700148798 | Jonathan Castro | Counselor | 951 Niagara St, Buffalo, NY 14213 | 2012-06-14 |
| Street Address |
2570 ROUTE 9W |
| City | CORNWALL |
| State | NY |
| Zip Code | 12518-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588020267 | Romilda Canale | Nurse Practitioner | 2570 Route 9w, Cornwall, NY 12518-1323 | 2016-01-11 |
| 1639216179 | Myrelle Baquiran Castro | Internal Medicine | 2570 Route 9w, Suite 4, Cornwall, NY 12518-1323 | 2007-02-01 |
| 1134185556 | Susan M Jensen | Internal Medicine | 2570 Route 9w, Ste 4, Cornwall, NY 12518-1323 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883697 | Rose Ema Francine Dubreus Pierre | Registered Nurse | 40 Firth Street, Cornwall, NY 12518 | 2020-05-23 |
| 1255847406 | Casey Marianne Undersinger | Occupational Therapist | 340 Hudson Street, Cornwall, NY 12518 | 2017-12-26 |
| 1629287107 | Clifford James Russ | Dentist | 41 Ridge Road, Cornwall, NY 12518 | 2007-05-22 |
| 1740687474 | Carolann Frances Furchi | Psychologist | 186 Main Street, Cornwall, NY 12518 | 2014-11-24 |
| 1952661274 | Kirti Joseph | Student in an Organized Health Care Education/Training Program | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2012-05-21 |
| 1255564969 | Manita Sawhney | Internal Medicine | Hudson Vista Medical, PC, 21 Laurel Avenue, Suite 280, Cornwall, NY 12518 | 2009-08-27 |
| 1568583896 | Eastern Orange Ambulatory Surgery Center, LLC | Clinic/Center | 21 Laurel Ave, Suite 120, Cornwall, NY 12518 | 2007-04-03 |
| 1518022771 | Pelella Apothecary Inc | Pharmacy | 21 Laurel Ave, Ste 110, Cornwall, NY 12518 | 2006-12-27 |
| 1245327162 | Thomas V Robb | Surgery | 21 Laurel Ave, Suite 240, Cornwall, NY 12518 | 2006-10-10 |
| 1134233497 | Prestige Physicians Services, Pllc | Family Medicine | 164 Willow Ave, Cornwall, NY 12518 | 2006-08-17 |
| Find all providers in zip 12518 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271629 | Cecelia Health, Inc. | Internal Medicine | 355 Lexington Ave # 12f, New York, NY 10017-6603 | 2020-10-02 |
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1033677810 | Sarah Fishman Md, Phd PC | Internal Medicine | 121 E 60th St Apt 3b, New York, NY 10022-1164 | 2019-03-11 |
| 1861969404 | Mt Endocrinology PC | Internal Medicine | 984 N Broadway Ste 305, Yonkers, NY 10701-1308 | 2018-11-01 |
| 1306389523 | Dina Zaqqa | Internal Medicine | 76 Adams Rd, Saratoga Springs, NY 12866-9008 | 2016-11-19 |
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1023487394 | Michael Berelowitz | Internal Medicine | 415 E 37th St Apt 36c, New York, NY 10016-3261 | 2015-09-17 |
| 1316326317 | Westchester Endrocrinology Pllc | Internal Medicine | 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 | 2015-05-22 |
| 1730577602 | Nicseb Medical PC | Internal Medicine | 103 W 117th St, Ph, New York, NY 10026-2963 | 2014-12-31 |
| 1962812529 | Maria Teresa Anton | Internal Medicine | 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 | 2014-05-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JONATHAN MANUEL PEREZ CASTRO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.