JALISA LASHAE CARVALHO (MD) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1336765999
Hospice and Palliative Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
100 HOSPICE/PALLIATIVE CARE in NJ
Provider Addresses for JALISA LASHAE CARVALHO (MD)
350 ENGLE STREET
DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 076311808
Phone: (201) 896-3143
Type: Mailing
1801 W SAMPLE RD
DEERFIELD BEACH, FL 330641369
Phone: (954) 486-4085
Type: Mailing
201 E SAMPLE RD
DEERFIELD BEACH, FL 330643502
Phone: (954) 786-6920
Type: Location
3100 Weston Rd
Weston, FL 333313602
Phone: (954) 659-5000
Type: Location
3720 Executive Way
Miramar, FL 330253946
Phone: (877) 868-4827
Type: Location
2950 Cleveland Clinic Blvd
Weston, FL 333313609
Phone: (954) 659-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250417003465 | I | Hospice/Palliative Care | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07631)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | GA | |
| - | PA | |
| - | PA | |
| - | FL | |
| Nurse Practitioner | FL | |
| Hospice/Palliative Care | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | NY |
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