Jessica L Policastro, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

01838 Issued in WV

Practice address

3045 Pennsylvania Ave
Weirton, WV 26062-3770

Phone

(304) 723-4000

Fax

(304) 794-7100

NPI assigned

Dec 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jpolicastro324437@direct.wvuhsdirect.com

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1639577117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623770",
            "telephone_number": "304-723-4000",
            "fax_number": "304-794-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623770",
            "telephone_number": "304-723-4000",
            "fax_number": "304-794-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLICASTRO",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Michael Phillips, CRNA
• Lisa Marie Phillips
• Christine Piccirillo, RN
• Vincent D Placek, D.D.S.
• Plan to Plate, LLC
• Ed Posti
• Anne Marie Potvin
• Katlyn Ashley Pownall Brockway
• Prabhjot S Deol, M.D. PLLC
• Premier Home Health Care L.L.C

• Medical Physician Assistant in Weirton, WV
• Providers in Weirton, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.