Individual
ENRIQUE RUDIBER CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
99 GORGE RD APT 1511, EDGEWATER, NJ 07020-1097
(718) 514-3690
Mailing address
99 GORGE RD APT 1511, EDGEWATER, NJ 07020-1097
(718) 514-3690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR22716500
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ15522300
NJ
Other
Enumeration date
12/06/2017
Last updated
02/25/2026
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