Kole Castro, MS, CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

034772 Issued in NY

Practice address

1500 William Floyd Pkwy Ste 302
East Yaphank, NY 11967-1800

Phone

(631) 775-8203

NPI assigned

Sep 18, 2024

Sex

Male

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)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Eastern Li Speech Pathology &Swallowing Disorders PC

  • Speech-Language Pathologist
  • East Yaphank, NY
  • NPI 1851694483
  NPD
• Janine Stiene Speech Language Pathologist P.C.

  • Speech-Language Pathologist
  • Stony Brook, NY
  • NPI 1043993520
  NPD (past)

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1730916263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 KELSEY AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461139",
            "telephone_number": "516-506-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WILLIAM FLOYD PKWY STE 302",
            "city": "EAST YAPHANK",
            "state": "NY",
            "postal_code": "119671800",
            "telephone_number": "631-775-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KOLE",
        "credential": "MS, CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittni Traina, LCSW, PLLC
• Melinda Susan Burger, LPN
• Nancy Bridget Costantino, M.A., CCC-SLP
• Elizabeth P Degrocco, LCSW-R
• Thomas M Doxsee, MSOTR/L
• Joanne Duran, LAC,LMT,LPN
• Eastern Li Speech Pathology &Swallowing Disorders PC

• Speech-Language Pathologist in East Yaphank, NY
• Providers in East Yaphank, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.