Michael Licata, MSPAS, PA-C
NPI 1417768334 · Physician Assistant · Mineola, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Licata, MSPAS, PA-C is a Physician Assistant provider in Mineola, NY (NPI 1417768334).
Provider details
- NPI number
- 1417768334
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSPAS, PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
- 2025-01-20
- Last updated
- 2025-01-20
- Certified
- 2025-01-19
Frequently asked questions
- What is Michael Licata's NPI number?
- Michael Licata's National Provider Identifier (NPI) is 1417768334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Licata's specialty?
- Michael Licata is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Licata located?
- Michael Licata's practice location on file with NPPES is 161 Willis Ave, Mineola, NY 11501-2616.
- What is Michael Licata's phone number?
- The practice phone number listed in the NPPES registry for Michael Licata is (516) 280-6645.
- Does Michael Licata accept Medicare?
- Michael Licata is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Licata's NPI active?
- Yes — Michael Licata's NPI (1417768334) is active in the NPPES registry as of the last update on 2025-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.