JONATHAN V DECASTRO OTR/L
NPI 1770674533
Specialist in Brooklyn, NY

Q: What is Jonathan Decastro's NPI number?

The NPI number for Jonathan Decastro is 1770674533. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Jonathan Decastro's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Decastro was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2006Accepts Medicare Assignment

2555 OCEAN AVE, 2ND FLOOR, BROOKLYN, NY 11229(718) 732-3869(347) 342-3123 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jonathan V Decastro Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN V DECASTRO OTR/L (NPI 1770674533) is an individual specialist in Brooklyn, New York, licensed in New York (012636) and active in the NPI registry since September 2006. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1770674533

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJONATHAN V DECASTROCredential: OTR/L

Location Address2555 OCEAN AVE, 2ND FLOORBrooklyn, NY 11229-4552

Mailing Address2555 Ocean Ave, 2nd FloorBrooklyn, NY 11229-4552 · (718) 732-3869 · Fax (347) 342-3123

Phone(718) 732-3869

Fax(347) 342-3123

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateSeptember 27, 2006

Last NPPES UpdateNovember 5, 2008

✔ NPI 1770674533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 012636

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2555 OCEAN AVE, Brooklyn, NY 11229

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Other Identifiers 1

Medicare ID-Type UnspecifiedQT7131NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan V Decastro Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799743225

PECOS Enrollment IDI20041229000894

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY ASHLEY HOOD

Behavior Technician

2555 OCEAN AVE
BROOKLYN, NY 11229

Kings County (718) 540-2142

DENNISE CARDENAS

Case Manager/Care Coordinator

2555 OCEAN AVE
BROOKLYN, NY 11229

Kings County (718) 540-2142

FERNANDA DUNN

Specialist

2555 OCEAN AVE
BROOKLYN, NY 11229

Kings County (718) 540-2142

AHLAM SEIDI

Case Manager/Care Coordinator

2555 OCEAN AVE
BROOKLYN, NY 11229

Kings County (718) 540-2142

SARA GROSSMAN PT

Physical Therapist

2555 OCEAN AVE, 2ND FLOOR
BROOKLYN, NY 11229

Kings County (718) 732-3869

MONIQUE BROWN

Case Manager/Care Coordinator

2555 OCEAN AVE
BROOKLYN, NY 11229

Kings County (718) 540-2142

ANISHA M DURAN

Behavior Analyst

2555 OCEAN AVE
BROOKLYN, NY 11229

Kings County (718) 540-2142

SASHA DELIA GUZMAN

Occupational Therapy Assistant

2555 OCEAN AVE
BROOKLYN, NY 11229

Kings County (718) 540-2142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Decastro's NPI number?

The NPI number for Jonathan Decastro is 1770674533. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Jonathan Decastro located?

Jonathan Decastro practices at 2555 Ocean Ave 2nd Floor, Brooklyn, NY 11229. The listed phone number is (718) 732-3869.

What is Jonathan Decastro's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jonathan Decastro enrolled in Medicare?

Yes. Jonathan Decastro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Decastro was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.