Thomas C Licata (NPI# 1811193253, PAC ID# 6103950605) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1811193253 |
| PAC ID by PECOS | 6103950605 |
| Professional Enrollment ID | I20100819000702 |
| Full Name | Thomas C Licata |
| Organization Legal Name | ATLANTIC EMERGENCY ASSOCIATES, PA |
| Address |
65 W Jimmie Leeds Rd Pomona NJ 08240-9102 |
| Phone Number | 6096521000 |
| Gender | M |
| Medical School | UNIV OF MED & DENTISTRY OF NJ, NJ DENTAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1153354170 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310064 | ATLANTICARE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 600 S White Horse Pike, Hammonton, NJ 08037-2014 | 6094418127 | ATLANTIC EMERGENCY ASSOCIATES KESSLER SED LLC |
| 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 6096521000 | ATLANTIC EMERGENCY ASSOCIATES, PA |
| Organization Legal Name | ATLANTIC EMERGENCY ASSOCIATES, PA |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eva Marie Guerrieri | Emergency Medicine | Atlantic Emergency Associates, Pa | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Michael S Westrol | Emergency Medicine | Atlantic Emergency Associates, Pa | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 |
| John D. Keogh | Emergency Medicine | Atlantic Emergency Associates, Pa | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 |
| Ave Maria Guerrieri | Nurse Practitioner | Atlantic Emergency Associates, Pa | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Kristen J Scheets | Emergency Medicine | Atlantic Emergency Associates, Pa | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Vera Tolova | Emergency Medicine | Atlantic Emergency Associates, Pa | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Jonathan Wooden | Emergency Medicine | Atlantic Emergency Associates, Pa | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Joseph A Cusella | Nurse Practitioner | Atlantic Emergency Associates, Pa | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 |
| Mary F Andrews | Nurse Practitioner | Atlantic Emergency Associates, Pa | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 |
| Casey Alicia Peterson | Nurse Practitioner | Atlantic Emergency Associates, Pa | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 |
| Street Address |
65 W JIMMIE LEEDS RD |
| City | POMONA |
| State | NJ |
| Zip | 08240-9102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna Melle | Certified Nurse Midwife (cnm) | Atlanticare Physician Group Pa | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Saraswathi V Racherla | Internal Medicine | Atlanticare Physician Group Pa | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Klisa D Hargrove | Certified Registered Nurse Anesthetist (crna) | Atlanticare Regional Medical Center | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Marianne L Herman | Nurse Practitioner | Atlanticare Regional Medical Center | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Janine M Whitson-west | Anesthesiology | Atlanticare Regional Medical Center | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Neha Sangani | Certified Registered Nurse Anesthetist (crna) | Atlanticare Regional Medical Center | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Susan L Schrenk | Certified Registered Nurse Anesthetist (crna) | Atlanticare Regional Medical Center | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Bhargavi Degapudi | Internal Medicine | Atlanticare Physician Group Pa | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| David R Gayeski | Anesthesiology | Atlanticare Regional Medical Center | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Sacha Florestal Charles | Internal Medicine | Atlanticare Physician Group Pa | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Ciallella | Nurse Practitioner | Coastal Infectious Disease Consultants, LLC | 208 W Whitehorse Pike, Pomona, NJ 08240 |
| Rachael Tridente | Nurse Practitioner | Coastal Infectious Disease Consultants, LLC | 208 W Whitehorse Pike, Pomona, NJ 08240 |
| Justin Baptist | Internal Medicine | Coastal Infectious Disease Consultants, LLC | 208 W Whitehorse Pike, Pomona, NJ 08240 |
| Edward L Sung | Obstetrics/gynecology | Coastal Obstetrics and Gynecology Associates Pa | 72 W Jimmie Leeds Rd, Pomona, NJ 08240 |
| Gregory Smallwood | Chiropractic | 235 White Horse Pike, Suite 3, Pomona, NJ 08240-0529 | |
| Craig J Anmuth | Physical Medicine and Rehabilitation | 61 W Jimmie Leeds Rd, Pomona, NJ 08240-0723 | |
| Jacqueline Ann Kelsch-robinson | Chiropractic | 278 W Saint Joseph Ave, Pomona, NJ 08240-9000 | |
| Antonio C Grafilo | General Surgery | 252 W Father Keis Dr, Pomona, NJ 08240-9009 | |
| Ross D Berlin | Physical Medicine and Rehabilitation | Bacharach Institute for Rehabilitation, Inc. | 61 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 |
| David Levitch | Anesthesiology | Atlanticare Regional Medical Center | 65 W Jimmie Leads Rd, Pomona, NJ 08240-9102 |
| Find all physicians in zip 08240 | |||
| City | POMONA |
| Zip Code | 08240 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | POMONA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Thomas C Licata.
| 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.