NPIMap

Organization Active NPI

NJ Nicastro Dental PC

  • General Practice Dentistry
  • Port Jefferson Station, NY
National Provider Identifier
1437208592
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NJ NICASTRO DENTAL PC
Practice address
5225 Nesconset Hwy
Suite 52
Port Jefferson Station, NY 11776-2053
Phone
(631) 928-2020
Fax
(631) 928-2417
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. Nicholas John Nicastro Jr., D.D.S.
Title
President
Phone
(631) 928-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5225 Nesconset Hwy
Suite 52
Port Jefferson Station, NY 11776-2053

Mailing address

5225 Nesconset Hwy
Suite 52
Port Jefferson Station, NY 11776-2053
Phone (631) 928-2020

Other names 1

  • NJ Nicastro Associates LLP Former legal business name

National Provider Directory

National Provider Directory

Locations

5225 Route 347
Ste 52
Port Jefferson Station, NY 11776
Phone (631) 928-2020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1437208592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY",
            "address_2": "SUITE 52",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762053",
            "telephone_number": "631-928-2020",
            "fax_number": "631-928-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY",
            "address_2": "SUITE 52",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762053",
            "telephone_number": "631-928-2020",
            "fax_number": "631-928-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ NICASTRO DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "NICASTRO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-928-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NJ Nicastro Associates LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.