Active NPI
Jessica Nicole Castoro, M.A.
- Speech-Language Pathologist
- Smithtown, NY
National Provider Identifier
1104174911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 26 New York Ave Unit 1
Smithtown, NY 11787-3435 - Phone
- (631) 382-2000
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
26 New York Ave Unit 1
Smithtown, NY 11787-3435
Mailing address
11 Cedartree LN
Huntington Station, NY 11746-4007
Phone (516) 840-6054
Other practice location 1
15050 14th Rd
Whitestone, NY 11357-2609
Phone (718) 767-0091
Other names 1
- Jessica Nicole Greco
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1104174911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CEDARTREE LN",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117464007",
"telephone_number": "516-840-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 NEW YORK AVE UNIT 1",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873435",
"telephone_number": "631-382-2000"
}
],
"practiceLocations": [
{
"address_1": "15050 14th Rd",
"address_purpose": "LOCATION",
"city": "Whitestone",
"state": "NY",
"postal_code": "113572609",
"country_code": "US",
"telephone_number": "718-767-0091",
"fax_number": "718-767-0086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTORO",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GRECO",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.