JEFFREY PAUL LICATA (PA-C) – Medical Physician Assistant, NPI 1104385947
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for JEFFREY PAUL LICATA (PA-C)
8 S MAIN ST UNIT 226
MARLBORO, NJ 077468009
Phone: (732) 673-5131
Type: Mailing
2, Centre Plaza, Tinton Falls, Monmouth County, New Jersey, 07724, United States
TINTON FALLS, NJ 077249744
Phone: (732) 673-5131
Type: Location
2 Center Plz
Tinton Falls, NJ 077249744
Phone: (732) 673-5131
Type: Location
3333 HYLAN BLVD
STATEN ISLAND, NY 103063608
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190501003362 | I | Physician Assistant | NJ | TBD |
| I20240207000566 | I | Physician Assistant | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,986 | 372 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 457 | 371 | $0 |
Insurance plans in this area (ZIP 07746)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NY | |
| Diagnostic Radiology | NY | |
| Nurse Practitioner | NY | |
| - | NY | |
| Orthopedic Surgery | NY | |
| Physician Assistant | NY | |
| N E U R O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NY | |
| Nurse Practitioner | NY | |
| Physician Assistant | NY |
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