Healthcare Provider Details

I. General information

NPI: 1689011207
Provider Name (Legal Business Name): JAMES CASTELLANO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2013
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 5TH AVE STE 810 SUITE 810 LKB
PITTSBURGH PA
15213-3206
US

IV. Provider business mailing address

3471 5TH AVE STE 810 SUITE 810 LKB
PITTSBURGH PA
15213-3206
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number463980
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberMD463980
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: