Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jenna Nicole Castellano, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1205182847

MS. Jenna Nicole Castellano, PHYSICIANASSISTANT is a Physician Assistant in New Hyde Park, New York. Qualified in 2012, 14 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012

Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (516) 734-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015685-1 (NY)

Record details

NPI number1205182847
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedAugust 1, 2012
Last updated in NPPESSeptember 10, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in New Hyde Park