Individual provider Active NPI

Robert John Castelli, DPM

  • Podiatrist
  • Woodhaven, NY
National Provider Identifier
1376549154
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
004630 Issued in NY
Practice address
8612 Jamaica Ave
Woodhaven, NY 11421-2042
Phone
(718) 846-7872
Fax
(718) 846-6001
NPI assigned
Jun 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY004630 NY
Podiatrist 213E00000X 004630 NY Primary

Addresses

Primary practice location

8612 Jamaica Ave
Woodhaven, NY 11421-2042

Mailing address

8612 Jamaica Ave
Woodhaven, NY 11421-2042
Phone (718) 846-7872

Other identifiers 4

IdentifierTypeStateIssuer
NY004630OtherNYNY STATE LICENSE NUMBER
01157253MedicaidNY
04196609MedicaidNY
PO 002040OtherFLFLORIDA STATE LICENSE

Other names 1

  • Dr. Robert John Castelli Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001252 NY Practitioner - Podiatry 7719879162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8612 Jamaica Ave
Woodhaven, NY 11421-2042
Phone (718) 846-7872

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions48
Removal of nail tissue66
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004630NYMDPhysical Therapist
NY004630NYMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Robert J. Castelli DPM PC Durable Medical Equipment & Medical Supplies CurrentSince Jul 3, 1992 Accepting new patients
Jeffrey Kass DPM PC Podiatrist CurrentSince Jun 15, 2025 Accepting new patients

Locations

6812 Yellowstone Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 575-3737

8612 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 846-7872

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1376549154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212042",
            "telephone_number": "718-846-7872",
            "fax_number": "718-846-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8612 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212042",
            "telephone_number": "718-846-7872",
            "fax_number": "718-846-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLI",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-25",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "NY004630",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "004630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE NUMBER",
            "identifier": "NY004630",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01157253",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04196609",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "PO  002040",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "CASTELLI",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "DPM PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodhaven, NY

Sources for this page

Verify at the official NPI Registry.