BETH A BOSTICCO (PA-C) – Surgical Physician Assistant, NPI 1982665667

BETH A BOSTICCO (PA-C) is a healthcare provider. based in Ridgewood, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00028300 (NJ). The NPI Number for BETH A BOSTICCO (PA-C) is 1982665667

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
BETH A BOSTICCO (PA-C)
NPI
1982665667
Phone
(201) 447-8418
Address
223 N VAN DIEN AVE
Enumeration Date
31 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008255391
Graduation Year
2008 (18 years ago)
PAC ID
0143293092
Group Practice PAC ID
3577857333
Professional Enrollment ID
I20040818000493
Address ID
NJ076523619PA4XXXXPLZX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for BETH A BOSTICCO (PA-C)

  • The Valley Hospital, 223, North Van Dien Avenue, Southeast Ridgewood, Ridgewood, Bergen County, New Jersey, 07450, United States

    RIDGEWOOD, NJ 074502726

    Phone: (201) 447-8418

    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 44 Open Payments records for all available years, with a total value of $1,404.

Total Amount is formed as General ($1,404) + Research ($0) + Ownership ($0) = $1,404.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABIOMED ($448).

Total Amount

$1,404

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,404

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040818000493IPhysician AssistantNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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 07450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577857333View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant CardiologyNY
Family PracticeNJ
C H I R O P R A C T I CNJ
Internal MedicineNJ
-PA
-NJ
-NC
General SurgeryNY
Certified Nurse Midwife (Cnm)NY
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Can I verify BETH A BOSTICCO (PA-C) with an NPI only?
You can start verification with NPI 1982665667 for BETH A BOSTICCO (PA-C), then check state licensing separately.
Can I rely on BETH A BOSTICCO (PA-C) being an active provider?
As of the registry snapshot, BETH A BOSTICCO (PA-C) is marked active.
What is BETH A BOSTICCO (PA-C)'s specialty?
The listing groups BETH A BOSTICCO (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect BETH A BOSTICCO (PA-C) on a map?
Expect Ridgewood, New Jersey as a primary anchor for BETH A BOSTICCO (PA-C) unless the record lists multiple sites.
Why does BETH A BOSTICCO (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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