Provider Demographics
NPI:1619051646
Name:CASTANEDA, RACHEL LIM (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LIM
Last Name:CASTANEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LIM
Other - Last Name:CASTANEDA-PARALLAG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:25 LINDSLEY DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4455
Mailing Address - Country:US
Mailing Address - Phone:973-267-9099
Mailing Address - Fax:973-605-5960
Practice Address - Street 1:95 MADISON AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6092
Practice Address - Country:US
Practice Address - Phone:973-267-9099
Practice Address - Fax:973-605-5960
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07036900207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH16173Medicare UPIN