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MARIGOLD C CASTILLO M.D.
NPI 1083828032
Pediatrics - Adolescent Medicine in Bayside, NY

Active since May 09, 2007PECOS Enrolled
4205 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361(718) 631-2273(718) 631-2278 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marigold C Castillo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIGOLD C CASTILLO M.D. (NPI 1083828032) is an individual adolescent medicine provider in Bayside, New York, licensed in Connecticut (047884) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083828032
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameMARIGOLD C CASTILLOCredential: M.D.
Location Address4205 FRANCIS LEWIS BLVDBayside, NY 11361-2573
Mailing Address4205 Francis Lewis BlvdBayside, NY 11361-2573 · (718) 631-2273 · Fax (718) 631-2278
Phone(718) 631-2273
Fax(718) 631-2278
Sole ProprietorYes
Enumeration DateMay 9, 2007
Last NPPES UpdateDecember 12, 2019
✔ NPI 1083828032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in CT · 047884✔ Licensed in NY · 265887
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
4205 FRANCIS LEWIS BLVD, Bayside, NY 11361
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marigold C Castillo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marigold Castillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
3.9 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSIE HAHN M.D.
Ophthalmology
4205 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 428-1100
COLEEN CHARLOTTE RABE ONG MPT
Physical Therapist
4205 FRANCIS LEWIS BLVD, 1 FL
BAYSIDE, NY 11361
Queens County (718) 888-7727
KRISTEN TORRES
Audiologist
4205 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 460-3100
HEARING HELP ASSOC., LLC
Audiologist
4205 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 460-3100
MARIGOLD CASTILLO MD
Pediatrics (Adolescent Medicine)
4205 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 631-2273
DR. NICOLE VISCOVICH AU.D
Audiologist
4205 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 460-3100
MRS. KRISTY MARIE ZAIDINSKI RD, CDN
Dietitian, Registered
4205 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 631-2773
DR. IRENE E. DRAGA M.D.
Ophthalmology
4205 FRANCIS LEWIS BLVD
BAYSIDE, NY 11361
Queens County (718) 428-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marigold Castillo's NPI number?

The NPI number for Marigold Castillo is 1083828032. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Marigold Castillo located?

Marigold Castillo practices at 4205 Francis Lewis Blvd, Bayside, NY 11361. The listed phone number is (718) 631-2273.

What is Marigold Castillo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Marigold Castillo enrolled in Medicare?

Yes. Marigold Castillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marigold Castillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marigold Castillo reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marigold Castillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marigold Castillo was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.