NICOLE CASTELLUCCIO (PA-C) – Physician Assistant, NPI 1992483929
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,576 PHYSICIAN ASSISTANT in NJ
Provider Addresses for NICOLE CASTELLUCCIO (PA-C)
123 METRO BLVD
NUTLEY, NJ 071106101
Phone: (973) 761-9000
Fax: (201) 603-1993
Type: Mailing
113 W ESSEX ST
MAYWOOD, NJ 076071023
Phone: (201) 487-3400
Fax: (201) 603-1993
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $452.
Total Amount is formed as General ($452) + Research ($0) + Ownership ($0) = $452.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Integra LifeSciences Corporation ($158).
Total Amount
$452
General + Research + Ownership
Payments
4
Total payment records
General Amount
$452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $158 |
| Davol Inc. | $148 |
| Kerecis Limited | $126 |
| Pacira Pharmaceuticals Incorporated | $19 |
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: 2023-12-13
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 |
|---|---|---|---|---|
| I20231213000908 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07110)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | NY | |
| Plastic And Reconstructive Surgery | NJ | |
| Plastic And Reconstructive Surgery | NJ | |
| Plastic And Reconstructive Surgery | NJ | |
| Plastic And Reconstructive Surgery, Hand Surgery | NJ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.