Individual provider · Type 1 NPI

Michael R. Kastama

Physician Assistant · New York, NY

NPI number 1003797572 Active

Practice location

2257 Adam Clayton Powell Jr Blvd
New York, NY 10027-7979

Mailing address

421 King George Ave SW Apt 2
Roanoke, VA 24016-4843

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003797572

Michael R. Kastama's National Provider Identifier is 1003797572, issued on Sep 10, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Feb 4, 2026.