IndividualActive
Martha Kicak, LPN
NPI 1104230317 · Licensed Practical Nurse · Syracuse, NY
Martha Kicak, LPN is a Licensed Practical Nurse provider in Syracuse, NY (NPI 1104230317).
Provider details
- NPI number
- 1104230317
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 082747 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2105 W Genesee St
Syracuse, NY 13219-1656
Phone: (315) 468-3239
Fax: (315) 468-2917
Street-level locationGet directions
Mailing address
4600 W Genesee St # 2105west
Syracuse, NY 13219-1707
Registry dates
- Enumerated
- 2014-06-16
- Last updated
- 2014-06-16
Frequently asked questions
- What is Martha Kicak's NPI number?
- Martha Kicak's National Provider Identifier (NPI) is 1104230317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Martha Kicak's specialty?
- Martha Kicak is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Martha Kicak located?
- Martha Kicak's practice location on file with NPPES is 2105 W Genesee St, Syracuse, NY 13219-1656.
- What is Martha Kicak's phone number?
- The practice phone number listed in the NPPES registry for Martha Kicak is (315) 468-3239.
- Is Martha Kicak's NPI active?
- Yes — Martha Kicak's NPI (1104230317) is active in the NPPES registry as of the last update on 2014-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.