Nicole Castro

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA11045700 Issued in NJ

Practice address

597 Park Ave Ste a
Freehold, NJ 07728-2590

Phone

(732) 252-1648

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

NJ Acute Care Specialists Professional CorporationGroup PAC ID 3678742269, 55 clinicians

Centrastate Medical Center Inc.Group PAC ID 9739125428, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
• Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1295718450

  Single Specialty

  Medicare reassignment Care Compare group NPD
• NJ Acute Care Specialists Professional Corporation

  • Hospitalist Physician
  • East Orange, NJ
  • NPI 1073805917

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041
  Medicare reassignment Care Compare group
• Rutgers Health-RWJ Pediatric Critical Care

  • Family Medicine Physician
  • New Brunswick, NJ
  • NPI 1780766527

  Single Specialty

  Medicare reassignment NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Asbury Park, NJ
  • NPI 1841240561

  Single Specialty

  Medicare reassignment NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806
  Medicare reassignment
• Centrastate Medical Center Inc.

  • Psychiatric Hospital Unit
  • Freehold, NJ
  • NPI 1982636270
  NPD
• Rutgers Health-RWJ Pediatric Critical Care

  • Anatomic Pathology & Clinical Pathology Physician
  • New Brunswick, NJ
  • NPI 1538173539

  Single Specialty

  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Keyport, NJ
  • NPI 1003867250

  Single Specialty

  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Community/Retail Pharmacy
  • Asbury Park, NJ
  • NPI 1205621018
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1295718450
  Care Compare affiliation
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  Care Compare affiliation

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1326524976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 PARK AVE STE A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282590",
            "telephone_number": "732-252-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 PARK AVE STE A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282590",
            "telephone_number": "732-252-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11045700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose A Caruso, DPM
• Kellie Casamassina, PT, DPT
• Earvin M Casciano, MSW, LSW
• Jeffrey William Case, O.D.
• Philip Lawrence Case, M.D.
• Casey Castronova, LSW
• Benjamin Joseph Cataldi, LPC
• Christina Marie Cavalieri, FNP
• Rose Marie Cedola, OTR
• Center for Infectious Diseases and Intl. Travel Care of Monmouth, P.C.

• Family Medicine Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.