Active NPIIndividual providerSole proprietor

Angelina R Decastro, MD

Psychiatry & Neurology, Psychiatry in Staten Island, New York

NPI Number1033212816
Practice location
36A Grandview Ave, Staten Island, NY 10303-2000
Fax
718-445-6545
Last updated
September 13, 2020

Angelina Reperoga Decastro is a Psychiatry & Neurology, Psychiatry based in Staten Island, NY. Angelina Reperoga Decastro practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Angelina Reperoga Decastro is 1033212816 and holds a License No. 164908 (NY). The current practice location address for Angelina Reperoga Decastro is 36A Grandview Ave, Staten Island, NY 10303-2000 and can be reached out via phone at 917-817-4836 and via fax at 718-445-6545.

Provider Profile Details

NPI Number
1033212816
Provider Name
Angelina Reperoga Decastro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
36A Grandview Ave, Staten Island, NY 10303-2000
Phone Number
917-817-4836
Fax Number
718-445-6545
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2006
Last Update Date
September 13, 2020
Certification Date
September 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
36A Grandview Ave
Staten Island, NY 10303-2000
Zip
10303-2000
Phone Number
917-817-4836
Fax Number
718-445-6545
Staten Island, NY 10303Get directions →

Provider Business Mailing Address Details

Address
193-04 Horace Harding Expwy #3g
Fresh Meadows, NY 11365-3540
City
Fresh Meadows
State
NY
Zip
11365-3540
Phone Number
917-817-4836
Fax Number
718-445-6545

License Information

License Number
164908
License State
NY
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angelina R Decastro, MD?

The NPI number of Angelina R Decastro, MD is 1033212816. It was assigned on September 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Angelina R Decastro, MD?

Angelina R Decastro, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 164908.

Where does Angelina R Decastro, MD practice?

The practice location is 36A Grandview Ave, Staten Island, NY 10303-2000. The office can be reached at 917-817-4836 (phone) or 718-445-6545 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033212816 directly on the NPPES registry website.

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