Raul Patricio Castro

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00660400 Issued in NJ

Practice address

247 Elm St Apt 1
Elmwood Park, NJ 07407-1545

Phone

(973) 876-3971

NPI assigned

Dec 19, 2019

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Urgent Care of Paramus LLCGroup PAC ID 3971656018, 15 clinicians

SKR Medical AdvisorsGroup PAC ID 7315185816, 18 clinicians

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Doctors Office of West Caldwell LLCGroup PAC ID 7416130448, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group NPD
• Doctor's Office of West Caldwell LLC

  • Urgent Care Clinic/Center
  • West Caldwell, NJ
  • NPI 1144524786
  Medicare reassignment Care Compare group
• Excel Urgent Care of Paramus LLC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1063652220
  Medicare reassignment Care Compare group
• SKR Medical Advisors

  • Urgent Care Clinic/Center
  • Lyndhurst, NJ
  • NPI 1184971558
  Medicare reassignment Care Compare group
• Nes Georgia Inc

  • Emergency Medicine Physician
  • Elizabeth, NJ
  • NPI 1043616675
  Medicare reassignment
• Community Urgent Care PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1295001576
  Medicare reassignment
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  NJ

  Medicare reassignment
• Nes Georgia Inc

  • Emergency Medicine Physician
  • Newark, NJ
  • NPI 1912411331
  NPD
• DRX Paramus, LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Paramus, NJ
  • NPI 1316272685
  NPD (past)
• Excel Medical Group PC

  • Primary Care Clinic/Center
  • North Bergen, NJ
  • NPI 1518643444
  NPD (past)
• Jersey Irish Medical

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Bound Brook, NJ
  • NPI 1144575739
  NPD (past)

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1316585458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 ELM ST APT 1",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071545",
            "telephone_number": "973-876-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 ELM ST APT 1",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071545",
            "telephone_number": "973-876-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "RAUL",
        "middle_name": "PATRICIO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00660400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althea Evelina Cane
• Paola Andrea Cano, L.M.T
• Careway Medical Adult Day Care Corp
• Venus N Casareno
• Paola Castillo, NURSE PRACTITIONER
• Center for Excellence in Cataract & Eye Surgery (Klein Vision Surgery, LLC)
• Center for Family Support, New Jersey, Inc.
• Jason Cervera, MD
• Victor C Chanduvi, ST/SA
• Chartier Therapy Group

• Surgical Physician Assistant in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.