Salvatore Licciardone, DO
NPI 1205889045 · Family Medicine Physician · Park Ridge, NJ
Salvatore Licciardone, DO is a Family Medicine Physician provider in Park Ridge, NJ (NPI 1205889045).
Provider details
- NPI number
- 1205889045
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 25MB02322300 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2010-10-14
Frequently asked questions
- What is Salvatore Licciardone's NPI number?
- Salvatore Licciardone's National Provider Identifier (NPI) is 1205889045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Salvatore Licciardone's specialty?
- Salvatore Licciardone is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Salvatore Licciardone located?
- Salvatore Licciardone's practice location on file with NPPES is 74 Pascack Rd, Park Ridge, NJ 07656-1935.
- What is Salvatore Licciardone's phone number?
- The practice phone number listed in the NPPES registry for Salvatore Licciardone is (201) 391-4166.
- Is Salvatore Licciardone's NPI active?
- Yes — Salvatore Licciardone's NPI (1205889045) is active in the NPPES registry as of the last update on 2010-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.