Individual provider Active NPI

Brian C. Policastro, PA-C

  • Surgical Physician Assistant
  • Neptune, NJ
National Provider Identifier
1568423960
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00123100 Issued in NJ
Practice address
1945 Rte 33
Neptune, NJ 07753-4859
Phone
(732) 776-4949
Fax
(732) 776-4843
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00123100 NJ Primary

Addresses

Primary practice location

1945 Rte 33
Neptune, NJ 07753-4859

Mailing address

331 Newman Springs Road
BLDG. 2, Suite 220
Red Bank, NJ 07701
Phone (732) 807-0877

Other practice location 1

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

Other identifiers 1

IdentifierTypeStateIssuer
PO1162444OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050407000772 NJ Practitioner - Physician Assistant 0941257240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Central Jersey CurrentSince Jul 26, 2004 Accepting new patients
Emergency Medical Associates of New Jersey PA PastSince May 10, 2020 Accepting new patients
Kimball Emergency Medical Associates LLC Past Accepting new patients
Orthopaedic Institute of Central Jersey Past Accepting new patients
Meridian Trauma Associates, P.C. Past Accepting new patients
Integrated Health and Wellness Center LLC Past Accepting new patients

Locations

2315 Route 34
Ste D
Manasquan, NJ 08736
Phone (732) 974-0404

2164 Route 35
Bldg A
Sea Girt, NJ 08750
Phone (732) 240-6060

226 Route 37 W
Toms River, NJ 08755
Phone (732) 240-6060

Interoperability endpoints

  • Direct secure messaging: brian.policastro@direct.hackensackmeridian.org

Organizations & group practices 6

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1568423960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS ROAD",
            "address_2": "BLDG. 2, SUITE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 RTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-776-4949",
            "fax_number": "732-776-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 N Beers St",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331514",
            "country_code": "US",
            "telephone_number": "732-739-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLICASTRO",
        "first_name": "BRIAN",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00123100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1162444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.