Jennifer S Castro (NPI# 1174594709, PAC ID# 1456451483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174594709 |
| PAC ID by PECOS | 1456451483 |
| Professional Enrollment ID | I20070705000295 |
| Full Name | Jennifer S Castro |
| Organization Legal Name | PREVENTIVE MEDICINE ASSOCIATES LLC |
| Address |
5415 W Genesee St Suite 301 Camillus NY 13031-2157 |
| Phone Number | 3154878109 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294740924 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 | 3154878109 | PREVENTIVE MEDICINE ASSOCIATES LLC |
| Organization Legal Name | PREVENTIVE MEDICINE ASSOCIATES LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy A Perrin | Nurse Practitioner | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Judith C Garrett | Nurse Practitioner | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Jane Choi | Physician Assistant | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Zoryana R Bosak | Nurse Practitioner | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Joseph T Barry | Internal Medicine | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Ellen Lynne Carey | Nurse Practitioner | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Alexander B Knudsen | Internal Medicine | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| David C Manfredi | Family Medicine | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Street Address |
5415 W GENESEE ST SUITE 301 |
| City | CAMILLUS |
| State | NY |
| Zip | 13031-2157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy A Perrin | Nurse Practitioner | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Judith C Garrett | Nurse Practitioner | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Jane Choi | Physician Assistant | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Zoryana R Bosak | Nurse Practitioner | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Joseph T Barry | Internal Medicine | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Ellen Lynne Carey | Nurse Practitioner | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Alexander B Knudsen | Internal Medicine | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| David C Manfredi | Family Medicine | Preventive Medicine Associates LLC | 5415 W Genesee St, Suite 301, Camillus, NY 13031-2157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Rivizzigno | Physical Therapy | 4050 Milton Ave, Camillus, NY 13031-1217 | |
| Jessica K. Lockwood | Physician Assistant | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Michael J Parker | Otolaryngology | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Nicole M Anzalone | Qualified Audiologist | Preferred Audiology Care, LLC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| John F Eppolito | Family Medicine | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Kimberly L Olrich | Nurse Practitioner | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Lori A Woods | Nurse Practitioner | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Erin M Bagley | Qualified Audiologist | Preferred Audiology Care, LLC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Samuel B Rameas | Podiatry | Samuel B Rameas Dpm PC | 5705 W Genesee St, Camillus, NY 13031-1274 |
| Howard M Wolhandler | Podiatry | Samuel B Rameas Dpm PC | 5705 W Genesee St, Camillus, NY 13031-1274 |
| Find all physicians in zip 13031 | |||
| City | CAMILLUS |
| Zip Code | 13031 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CAMILLUS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer S Castro.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.