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AMANDA M LAURICELLA PA
NPI 1861245904
Physician Assistant in Hackensack, NJ

Active since April 09, 2024PECOS EnrolledAccepts Medicare Assignment
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-1330 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amanda M Lauricella Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA M LAURICELLA PA (NPI 1861245904) is an individual physician assistant in Hackensack, New Jersey and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861245904
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA M LAURICELLACredential: PA
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect AveHackensack, NJ 07601-1915
Phone(551) 996-1330
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1861245904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30 PROSPECT AVE, Hackensack, NJ 07601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda M Lauricella Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193296721
PECOS Enrollment IDI20260604003144
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
JOSE DESCHAMPS
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Lauricella's NPI number?

The NPI number for Amanda Lauricella is 1861245904. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Amanda Lauricella located?

Amanda Lauricella practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-1330.

What is Amanda Lauricella's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Lauricella enrolled in Medicare?

Yes. Amanda Lauricella is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Lauricella was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.