DR. ALICE C CARDULLO (MD) – Dermatology Physician, NPI 1801950480
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
453 DERMATOLOGY in NJ
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Provider Addresses for DR. ALICE C CARDULLO (MD)
330, Ratzer Road, Packanack Lake, Wayne, Passaic County, New Jersey, 07470, United States
SUITE B9
WAYNE, NJ 074707702
Phone: (973) 696-4806
Fax: (973) 696-8980
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2024-07-08 • Largest payer in this snapshot: ABBVIE INC. ($30).
Total Amount
$77
General + Research + Ownership
Payments
5
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $30 |
| Lilly USA, LLC | $17 |
| Incyte Corporation | $15 |
| Amgen Inc. | $15 |
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: 2005-03-15
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 |
|---|---|---|---|---|
| I20050315000242 | I | Dermatology | NJ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 120 | 88 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 51 | 51 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 26 | 25 | $0 |
| 11900 | Injection into skin growth, 1-7 growths | 20 | 11 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 18 | 16 | $0 |
Insurance plans in this area (ZIP 07470)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | NJ | 17003 | Destruction of 2-14 skin growths | 127 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| D E R M A T O L O G Y | NJ |
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