Question 1

What type of a medical provider is Jeffrey Paul Licata?

Accepted Answer

Jeffrey Paul Licata is a Physician Assistant (Medical).

Question 2

Where does Jeffrey Paul Licata practice medicine?

Accepted Answer

Jeffrey Paul Licata has the following practice address:3333 HYLAN BLVD, STATEN ISLAND, NY 10306-3608

Question 3

Does this provider have a license number?

Accepted Answer

Jeffrey Paul Licata has 2 license numbers, including: License Number 031134 issued in New York.

Question 4

Does Jeffrey Paul Licata accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Jeffrey Paul Licata have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Jeffrey Paul Licata a member of any Medical Groups?

Accepted Answer

Jeffrey Paul Licata is not affiliated with any medical groups.

Question 7

Does Jeffrey Paul Licata participate in PECOS?

Accepted Answer

Yes, Jeffrey Paul Licata participates in PECOS.

Question 8

What phone number can I call to contact Jeffrey Paul Licata?

Accepted Answer

You can call the following number: (718)-667-7500

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Jeffrey Paul Licata.

Question 10

Is Jeffrey Paul Licata  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (12/19/2023).

Taxonomy	State	Primary?
Physician Assistant (Medical) - Taxonomy Code 363AM0700X	NY	Y
Physician Assistant (Medical) - Taxonomy Code 363AM0700X	NJ	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Jeffrey Paul Licata

Overview