Individual provider Active NPI

Ariel Castro, PT, DPT

  • Physical Therapist
  • Bogota, NJ
National Provider Identifier
1083047484
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01506300 Issued in NJ
Practice address
167 River Rd
Bogota, NJ 07603-1233
Phone
(201) 317-8042
NPI assigned
Aug 21, 2013
Last updated
Jan 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01506300 NJ Primary

Addresses

Primary practice location

167 River Rd
Bogota, NJ 07603-1233

Mailing address

167 River Rd
Bogota, NJ 07603-1233
Phone (201) 317-8042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130909000587 NJ Practitioner - Physical Therapist in Private Practice 7416191606 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01506300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Top Choice Medical LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Twin Boro Physical Therapy Associates, PA Past Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist PastSince Jan 3, 2000 Accepting new patients
Ying Shim, MD PA Past Accepting new patients

Locations

2014 Bergenline Ave
Union City, NJ 07087
Phone (201) 348-0200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1083047484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 RIVER RD",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031233",
            "telephone_number": "201-317-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 RIVER RD",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031233",
            "telephone_number": "201-317-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ARIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01506300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogota, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.