Provider Demographics
NPI:1497720205
Name:CASTELLO, FRANK (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:CASTELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 WEST GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-212-0051
Mailing Address - Fax:732-212-0713
Practice Address - Street 1:150 NEW PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2590
Practice Address - Country:US
Practice Address - Phone:908-301-5493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA049879002080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5107424OtherAETNA HEALTHCARE
NJ5328799OtherCIGNA HEALTHCARE
NJ221487148-021OtherQUALCARE
NJ221487148OtherDEVON HEALTH NETWORK
NJ221487148OtherHORIZON BCBS
NJS51B01OtherEMPIRE
NJ1K6209OtherHEALTHNET
NJ221487148OtherGREAT WEST
NJ221487148OtherPHCS
NJ221487148OtherMAGNACARE
NJ221487148OtherMULTIPLAN
NJ0508274000OtherAMERIHEALTH
NJ0539805Medicaid
NJ18304OtherAMERIGROUP
NJ221487148OtherUNITED HEALTHCARE
NJ221487148OtherMAGNACARE
NJ0539805Medicaid
NJ221487148OtherUNITED HEALTHCARE