MR. JOSEPH C LICATA (NPI# 1467421040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467421040 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH C LICATA |
| Credential | MD |
| Practice Address |
186 E 76th St New York NY 10021-2844 |
| Mailing Address |
1559 York Ave New York NY 10028 |
| Practice Telephone | 2125853329 |
| Practice Fax Number | 2125853717 |
| Mailing Telephone | 2125853329 |
| Mailing Fax Number | 2125853717 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2009-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 171051 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895499 | Joseph John Licata Jr. | Specialist | 245 E Main St, Ramsey, NJ 07446-1942 | 2006-03-17 |
| 1144712811 | Joseph Licata | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2018-05-30 |
| 1093264459 | Joseph Licata | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2016-09-27 |
| Street Address |
186 E 76TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114902723 | Jessica W. Lim | Otolaryngology | 186 E 76th St, Second Floor, New York, NY 10021-2844 | 2005-12-07 |
| 1750812004 | Sarah Amalina Sabrudin | Student in an Organized Health Care Education/Training Program | 186 E 76th St, 1st Floor, New York, NY 10021-2822 | 2017-03-27 |
| 1215489752 | Megan Nudelman | Nurse Practitioner | 186 E 76th St, 2nd Floor, New York, NY 10021-2822 | 2016-11-01 |
| 1871982058 | Michelle Paillere | Dietitian, Registered | 186 E 76th St, New York, NY 10021 | 2015-01-12 |
| 1639481013 | Annette Zeman | Audiologist | 186 E 76th St, Second Floor, New York, NY 10021-2822 | 2010-07-13 |
| 1598953606 | Linda Dahl, Md, PC | Specialist | 186 E 76th St, 2nd Floor, New York, NY 10021-2844 | 2007-10-15 |
| 1114122785 | Robert Anthony Andrews | Surgery | 186 E 76th St, Ground Floor, New York, NY 10021-2822 | 2007-06-15 |
| 1578767497 | Maya Kaplan | Physician Assistant | 186 E 76th St, Second Floor, New York, NY 10021-2844 | 2007-06-13 |
| 1083786594 | Parswa Ansari | Surgery | 186 E 76th St, First Floor, New York, NY 10021-2822 | 2006-11-14 |
| 1013020650 | Gady Har-el | Specialist | 186 E 76th St, Second Floor, New York, NY 10021-2844 | 2006-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203378 | Private Medical New York, PC | Pediatrics | 110 E 60th St # 808, New York, NY 10022-1688 | 2019-09-04 |
| 1205482452 | Manhattan Valley Pediatrics | Pediatrics | 2637 Broadway, New York, NY 10025-5022 | 2019-08-14 |
| 1891349122 | Amal Khidir | Pediatrics | 445 E 69th St Rm 432, New York, NY 10021-5602 | 2019-07-25 |
| 1154888766 | Amy Leung | Pediatrics | 139 Centre St Ste 314, New York, NY 10013-4554 | 2019-03-01 |
| 1699288795 | Amaranth Pediatric Health, PC | Pediatrics | 210 Canal St Rm 305, New York, NY 10013-4186 | 2017-11-10 |
| 1356862817 | Saroj Choudhary | Pediatrics | 234 E 149th St, Bronx, New York, NY 10451 | 2017-07-05 |
| 1457889487 | Dineeta Kubhar | Pediatrics | 462 1st Ave # Nbv, New York, NY 10016-9196 | 2017-06-03 |
| 1619320835 | Winston Yuen | Pediatrics | 286 South St Apt 14a, New York, NY 10002-8081 | 2016-07-22 |
| 1558714584 | Moonlight Pediatrics of Nyc, P.C. | Pediatrics | 111 W 25th St, New York, NY 10001-7243 | 2016-07-14 |
| 1992153787 | Charlyn Marie Laserna | Pediatrics | 1000 10th Ave Ste 11g, New York, NY 10019-1147 | 2016-06-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.