Joseph Licitra DC LLC
NPI 1902520109 · Chiropractor · Bloomfield, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joseph Licitra DC LLC is a Chiropractor organization in Bloomfield, NJ (NPI 1902520109).
Provider details
- NPI number
- 1902520109
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Joseph Licitra, Owner(201) 247-5363
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-09-30
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Frequently asked questions
- What is Joseph Licitra DC LLC's NPI number?
- Joseph Licitra DC LLC's National Provider Identifier (NPI) is 1902520109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Joseph Licitra DC LLC?
- Joseph Licitra DC LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Joseph Licitra DC LLC located?
- Joseph Licitra DC LLC's practice location on file with NPPES is 300 Broadacres Dr Ste 126a, Bloomfield, NJ 07003-3153.
- What is Joseph Licitra DC LLC's phone number?
- The practice phone number listed in the NPPES registry for Joseph Licitra DC LLC is (973) 470-0632.
- Does Joseph Licitra DC LLC accept Medicare?
- Joseph Licitra DC LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Joseph Licitra DC LLC?
- The authorized official listed on Joseph Licitra DC LLC's NPPES record is Joseph Licitra, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Joseph Licitra DC LLC's NPI active?
- Yes — Joseph Licitra DC LLC's NPI (1902520109) is active in the NPPES registry as of the last update on 2022-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.