Jonah M Licht (NPI# 1134192891, PAC ID# 2769400753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1134192891 |
| PAC ID by PECOS | 2769400753 |
| Professional Enrollment ID | I20070630000084 |
| Full Name | Jonah M Licht |
| Address |
100 Highland Ave Providence RI 02906-2740 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Highland Ave, Providence, RI 02906-2740 | ||
| 164 Summit Ave, Providence, RI 02906-2853 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 96% |
| Street Address |
100 HIGHLAND AVE |
| City | PROVIDENCE |
| State | RI |
| Zip | 02906-2740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Elliot Wurster | Physical Therapy | Liberty Physical Therapy | 100 Highland Ave, Suite 305, Providence, RI 02906-2753 |
| Michael Jacobs | Physical Therapy | Liberty Physical Therapy | 100 Highland Ave, Suite 305, Providence, RI 02906-2753 |
| Carolyn Dana Marvel | Clinical Social Worker | North Shore Psychiatric Associates Inc | 100 Highland Ave, Suite 204, Salem, MA 01970-2702 |
| William M Stone | Neurology | 100 Highland Ave, Suite 309, Providence, RI 02906-2753 | |
| Sanam Lathief | Endocrinology | Diabetes and Endocrinology Associates, Inc. | 100 Highland Ave, Suite 203, Providence, RI 02906-2752 |
| Kriti Bhagat | Optometry | Ezra L Galler Md Ltd | 100 Highland Ave, Suite 304, Providence, RI 02906-2753 |
| John P Mclinden Sr. | Physical Therapy | Liberty Physical Therapy | 100 Highland Ave, Suite 305, Providence, RI 02906-2753 |
| Flora E. Ocampo | Oral Surgery | North Shore Oral Surgery Group PC | 100 Highland Ave, Salem, MA 01970-2702 |
| Ameya Hodarkar | Endocrinology | Diabetes and Endocrinology Associates, Inc. | 100 Highland Ave, Suite 203, Providence, RI 02906-2752 |
| Christine M. Emmick | General Surgery | University Surgical Associates, Inc. | 100 Highland Ave, Suite 308, Providence, RI 02906-2753 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Jerry Scaramella | Psychiatry | 480 Hope St, Providence, RI 02906-1631 | |
| Lisa S Schachter | Clinical Social Worker | 475 Hope St, Providence, RI 02906-1639 | |
| Nancy S Remington | Certified Clinical Nurse Specialist (cns) | 475 Hope St, Providence, RI 02906-1639 | |
| Kathryn Roth | Clinical Social Worker | 475 Hope St, Suite 1, Providence, RI 02906-1639 | |
| Danielle M Jadin | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Alix Stockwood | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Albert J Pechie | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Cynthia Rosengard | Psychologist, Clinical | 295 Angell St, Providence, RI 02906-2119 | |
| Michael Zola | Chiropractic | 144 Waterman St, Suite 2, Providence, RI 02906-2126 | |
| Leila K Oconnell | Clinical Social Worker | 144 Waterman St, Suite 1, Providence, RI 02906-2126 | |
| Find all physicians in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| Specialty | NEPHROLOGY |
| City + Specialty | PROVIDENCE + NEPHROLOGY |
Please comment or provide details below to improve the information on Jonah M Licht.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.