Organization Active NPI

Amante N. Decastro, M.D., P.a.

  • Obstetrics Physician
  • Salem, NJ
National Provider Identifier
1952528101
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
25MA03018900 Issued in NJ
Legal business name
AMANTE N. DECASTRO, M.D., P.A.
Practice address
4 By Pass Rd
Suite 202
Salem, NJ 08079-2053
Phone
(856) 935-7200
Fax
(856) 935-9655
NPI assigned
Apr 19, 2007
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Amante N. Decastro, M.D.
Title
Owner
Phone
(856) 935-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 25MA03018900 NJ Primary

Addresses

Primary practice location

4 By Pass Rd
Suite 202
Salem, NJ 08079-2053

Mailing address

4 By Pass Rd
Suite 202
Salem, NJ 08079-2053
Phone (856) 935-7200

Other identifiers 1

IdentifierTypeStateIssuer
0190705MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1952528101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BY PASS RD",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792053",
            "telephone_number": "856-935-7200",
            "fax_number": "856-935-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BY PASS RD",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792053",
            "telephone_number": "856-935-7200",
            "fax_number": "856-935-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANTE N. DECASTRO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "AMANTE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-935-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NJ",
            "license": "25MA03018900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.