DR. LISA MARIE GUDICELLO (M.D.) – Ophthalmology Physician, NPI 1386794576
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. LISA MARIE GUDICELLO (M.D.)
10, Elizabeth Street, North Hackensack, River Edge, Bergen County, New Jersey, 07661, United States
SUITE 100
RIVER EDGE, NJ 076611933
Phone: (201) 488-4412
Fax: (201) 488-6524
Type: Mailing
440 NORTHERN PKWY
RIDGEWOOD, NJ 074501721
Phone: (201) 220-2654
Fax: (201) 220-2654
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2023-03-06
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 |
|---|---|---|---|---|
| I20230306002485 | I | Ophthalmology | NY | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 259 | 168 | $0 |
| 92004 | New patient complete exam of visual system | 244 | 244 | $0 |
| 92014 | Established patient complete exam of visual system | 203 | 166 | $0 |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 124 | 115 | $0 |
| 92002 | New patient problem focused exam of visual system | 18 | 18 | $0 |
Insurance plans in this area (ZIP 07661)
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