Provider Demographics
NPI:1184634115
Name:MULKAY-CASTILLO, ZENAIDA E (DMD)
Entity Type:Individual
Prefix:
First Name:ZENAIDA
Middle Name:E
Last Name:MULKAY-CASTILLO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 FERNDALE RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2113
Mailing Address - Country:US
Mailing Address - Phone:201-854-8100
Mailing Address - Fax:201-861-5636
Practice Address - Street 1:700 79TH ST
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-6385
Practice Address - Country:US
Practice Address - Phone:201-854-8100
Practice Address - Fax:201-861-5636
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI165171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ16517OtherDELTA DENTAL
NJ3629104Medicaid