Shasta Victoria Grimes Castro-Penullar, BSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

242 10TH St
Jersey City, NJ 07302-1406

Phone

(201) 795-2499

Fax

(201) 795-3579

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Shasta Victoria Grimes Castro Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Spine and Pain Institute ,LLCGroup PAC ID 3779688478, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.55 of 100Reported as group

Quality

52.84

Improvement activities

40

Cost

74.96

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• New Jersey Spine and Pain Institute LLC

  • Pain Clinic/Center
  • Bayonne, NJ
  • NPI 1972630788
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1699819730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BOYD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041103",
            "telephone_number": "201-200-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 10TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021406",
            "telephone_number": "201-795-2499",
            "fax_number": "201-795-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO-PENULLAR",
        "first_name": "SHASTA VICTORIA",
        "middle_name": "GRIMES",
        "name_prefix": "Mrs.",
        "credential": "BSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASTA VICTORIA",
            "last_name": "CASTRO",
            "middle_name": "GRIMES",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Ly'Nece Cassadime
• Marishell E Cassani, DC
• Michael Anthony Castano, NP
• Gillian Alejandra Castro Cuninghan
• Caridad Maria Castro Segura, LPC
• Cristina Carizal Castro, P.T
• Cathedral of Living Waters Inc. Dba Living Waters Transport
• Cathedral of Living Waters Incg
• Catholic Charities
• Catholic Charities

• Physical Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.