DR. NICHOLAS JOHN NICASTRO D.D.S. NPI 1497929244

NPI Information

  • NPI: 1497929244
  • Provider Name: DR. NICHOLAS JOHN NICASTRO, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5225 ROUTE 347
    SUITE 52
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Phone: (631) 928-2020

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NPI Details

DR. Nicholas John Nicastro, D.D.S. is a general practice dentist in Port Jefferson Station, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Nicholas John Nicastro, D.D.S. NPI is 1497929244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5225 ROUTE 347
SUITE 52
PORT JEFFERSON STATION, NY
ZIP 11776-053
Phone: (631) 928-2020
Fax: (631) 928-2417

The NPI 1497929244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/14/2008 and was last updated on 2/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice048467NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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