Mrs Shasta Victoria Grimes Castro-penullar, BSPT | |
242 10th St, Jersey City, NJ 07302-1406 | |
(201) 795-2499 | |
(201) 795-3579 |
Full Name | Mrs Shasta Victoria Grimes Castro-penullar |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 242 10th St, Jersey City, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699819730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Jersey Spine And Pain Institute ,llc | 3779688478 | 5 |
Provider Name | New Jersey Spine And Pain Institute ,llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972630788 PECOS PAC ID: 3779688478 Enrollment ID: O20070425000382 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shasta Victoria Grimes Castro-penullar, BSPT 257 Boyd Ave, Jersey City, NJ 07304-1103 Ph: (201) 200-0650 | Mrs Shasta Victoria Grimes Castro-penullar, BSPT 242 10th St, Jersey City, NJ 07302-1406 Ph: (201) 795-2499 |
Mr. Bartolome Amos Tan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 62 Grieco Dr, Jersey City, NJ 07305 Phone: 201-451-3733 Fax: 201-451-3733 | |
Dr. Tejal Gordhan Levitt, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Constitution Way, Apt. 106, Jersey City, NJ 07305 Phone: 609-213-2441 | |
Vidisha Shah, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 610 Washington Blvd, Jersey City, NJ 07310 Phone: 212-227-3233 | |
Mandakini Dhirubhai Desai, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 292 Saint Pauls Ave Fl 2, Jersey City, NJ 07306 Phone: 217-619-3025 Fax: 718-463-8880 | |
Vaishnavi Chinchankar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 Saint Pauls Ave Fl 1, Jersey City, NJ 07306 Phone: 201-737-8933 | |
Sree Vishnu Potluri, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Broadway, 2b, Jersey City, NJ 07306 Phone: 317-371-5568 | |
Rushit Katharotia, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 775 Newark Ave, Jersey City, NJ 07306 Phone: 201-640-5912 |