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NICOLE CASTELLUCCIO PA-C
NPI 1992483929
Physician Assistant in Maywood, NJ

Active since July 10, 2023PECOS EnrolledAccepts Medicare Assignment
113 W ESSEX ST, MAYWOOD, NJ 07607(201) 487-3400(201) 603-1993 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Jul 10, 2023 (2 updates tracked since 2023).

About Nicole Castelluccio Pa-c NPPES

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

NICOLE CASTELLUCCIO PA-C (NPI 1992483929) is an individual physician assistant in Maywood, New Jersey, licensed in New Jersey (25MP00791700) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992483929
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE CASTELLUCCIOCredential: PA-C
Location Address113 W ESSEX STMaywood, NJ 07607-1023
Mailing Address123 Metro BlvdNutley, NJ 07110-6101 · (973) 761-9000 · Fax (201) 603-1993
Phone(201) 487-3400
Fax(201) 603-1993
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 10, 2023
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1992483929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00791700
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.
113 W ESSEX ST, Maywood, NJ 07607
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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

Nicole Castelluccio Pa-c 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 ID9032568282
PECOS Enrollment IDI20231213000908
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07607 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 16

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

ROBERT MARRIOTT MEDICAL CORP
Surgery
113 W ESSEX ST
MAYWOOD, NJ 07607
Bergen County (877) 878-3289
ARI RUBEN BERG MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
113 W ESSEX ST, STE 201
BERGEN, NJ 07607
Bergen County (201) 251-7725
ANKLE & FOOT INSTITUTE PC
Orthopaedic Surgery (Foot and Ankle Surgery)
113 W ESSEX ST, SUITE 203
MAYWOOD, NJ 07607
Bergen County (201) 880-6790
AESTHETIC AND RECONSTRUCTIVE HAND SURGEONS LLC
Plastic Surgery (Surgery of the Hand)
113 W ESSEX ST, SUITE 202
MAYWOOD, NJ 07607
Bergen County (201) 487-3400
RICHARD KIM M D LLC
Plastic Surgery (Surgery of the Hand)
113 W ESSEX ST, SUITE 203
MAYWOOD, NJ 07607
Bergen County (201) 880-7766
LIGHTHOUSE ANESTHESIA PARTNERS LLC
Anesthesiology
113 W ESSEX ST, STE 201
MAYWOOD, NJ 07607
Bergen County (973) 886-3933
IVAN BILBAO-LAVIEJA PA
Physician Assistant
113 W ESSEX ST, STE 201
MAYWOOD, NJ 07607
Bergen County (201) 251-7725
VANGUARD PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
113 W ESSEX ST, SUITE 203
MAYWOOD, NJ 07607
Bergen County (201) 845-6030

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 Nicole Castelluccio's NPI number?

The NPI number for Nicole Castelluccio is 1992483929. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Nicole Castelluccio located?

Nicole Castelluccio practices at 113 W Essex St, Maywood, NJ 07607. The listed phone number is (201) 487-3400.

What is Nicole Castelluccio's specialty?

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

Is Nicole Castelluccio enrolled in Medicare?

Yes. Nicole Castelluccio 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.

Is Nicole Castelluccio affiliated with any hospitals?

According to CMS data, Nicole Castelluccio is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Castelluccio was last updated on June 20, 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.