Individual provider Active NPI

Caitlin Policastro, R.N, M.S.N

  • Adult Health Nurse Practitioner
  • Armonk, NY
National Provider Identifier
1003295825
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307207 Issued in NY
Practice address
5 N Greenwich Rd
Armonk, NY 10504-2311
Phone
(914) 898-5858
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F307207 NY Primary

Addresses

Primary practice location

5 N Greenwich Rd
Armonk, NY 10504-2311

Mailing address

5 N Greenwich Rd
Armonk, NY 10504-2311
Phone (914) 898-5858

Other practice location 1

634 Park Ave
Huntington, NY 11743-3881
Phone (631) 377-5045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721000151 NY Practitioner - Nurse Practitioner 3173983277 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F307207NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proclinix Sports Physical Therapy Chiropractic Wellness,PLLC CurrentSince Jun 5, 2023 Accepting new patients

Locations

5 N Greenwich Rd
Armonk, NY 10504
Phone (914) 207-7337

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEFECD/Endpoint/DEFECD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1003295825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N GREENWICH RD",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042311",
            "telephone_number": "914-898-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N GREENWICH RD",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042311",
            "telephone_number": "914-898-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117433881",
            "country_code": "US",
            "telephone_number": "631-377-5045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLICASTRO",
        "first_name": "CAITLIN",
        "name_prefix": "Ms.",
        "credential": "R.N, M.S.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Armonk, NY

Sources for this page

Verify at the official NPI Registry.