Jeffrey Licata, PA-C
NPI 1104385947 · Medical Physician Assistant · Staten Island, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Licata, PA-C is a Medical Physician Assistant provider in Staten Island, NY (NPI 1104385947).
Provider details
- NPI number
- 1104385947
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 25MP00516300 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
908 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 475 | $65 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 121 | $88 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 78 | $107 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 63 | $116 |
| X-Ray of Knee, 3 Views73562 | 45 | $44 |
| Aspiration And/Or Injection of Fluid From Large Joint |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 56 | 53 |
| Nabumetone | 14 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 2 Center PlzTinton Falls, NJ 07724-9744Phone: (732) 673-5131
Registry dates
- Enumerated
- 2019-03-19
- Last updated
- 2023-12-19
- Certified
- 2023-12-19
Frequently asked questions
- What is Jeffrey Licata's NPI number?
- Jeffrey Licata's National Provider Identifier (NPI) is 1104385947, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Licata's specialty?
- Jeffrey Licata is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeffrey Licata located?
- Jeffrey Licata's practice location on file with NPPES is 3333 Hylan Blvd, Staten Island, NY 10306-3608.
- What is Jeffrey Licata's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Licata is (718) 667-7500.
- Does Jeffrey Licata accept Medicare?
- Jeffrey Licata is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Licata's NPI active?
- Yes — Jeffrey Licata's NPI (1104385947) is active in the NPPES registry as of the last update on 2023-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.