Ariel Castro, PT, DPT
Individual provider Active NPI Physical Therapist · Bogota, NJ
NPI 1083047484 · NPPES record last updated Jan 5, 2018
Key facts
- NPI
- 1083047484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01506300 (NJ)
- Practice address
- 167 River Rd
Bogota, NJ 07603-1233 - Phone
- (201) 317-8042
- NPI assigned
- Aug 21, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130909000587 | NJ | Practitioner - Physical Therapist in Private Practice | 7416191606 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Top Choice Medical LLC | Physical Therapist | Current |
Accepting new patients |
| Twin Boro Physical Therapy Associates PA | Physical Therapist | Past |
Accepting new patients |
| Twin Boro Physical Therapy Associates, PA | Past | Accepting new patients | |
| Ying Shim, MD PA | Past | Accepting new patients |
Locations
2014 Bergenline Ave
Union City, NJ 07087
Phone (201) 348-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01506300 | NJ | Yes |
Addresses
Primary practice location
167 River Rd
Bogota, NJ 07603-1233
Mailing address
167 River Rd
Bogota, NJ 07603-1233
Phone (201) 317-8042
Other providers in Bogota, NJ
- Bogota Vision P.C.
- Borough of Bogota
- Alejandra Irina Brito
- Ashley Brito
- Gabrielle A Carpenter
- Children'S Aid and Family Services, Inc.
- Kenneth T. Cieslak
- Alyssa Colton
- Daniel E Golden DC PA
- Kristine Dimitui
All providers in Bogota, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.