DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) – Specialist, NPI 1104895499

DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) is a healthcare provider. based in Paramus, New Jersey. specializing in GENERAL SURGERY. They hold the professional credentials M.D. F.A.C.S.. They hold a License No. 55973 (NJ). The NPI Number for DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) is 1104895499

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.)
NPI
1104895499
Phone
(201) 327-0220
Address
1 W Ridgewood Ave Ste 106
Enumeration Date
17 March 2006
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2013270220
Graduation Year
1984 (42 years ago)
PAC ID
9739167974
Group Practice PAC ID
4688652829
Professional Enrollment ID
I20040713000616
Address ID
NJ074361615OA9XXXXRDXX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

984 GENERAL SURGERY in NJ

Provider Addresses for DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.)

  • 1 W Ridgewood Ave Ste 106

    Paramus, NJ 076522350

    Phone: (201) 327-0220

    Fax: (201) 327-4871

    Type: Location

  • 9 POST RD STE M5

    OAKLAND, NJ 074361615

    Phone: (201) 327-0220

    Fax: (201) 327-4871

    Type: Mailing

  • 245, Main Street, Hampden, Ramsey County, North Dakota, 58338, United States

    RAMSEY, NJ 074461942

    Phone: (201) 327-0220

    Fax: (201) 327-4871

    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: 2004-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040713000616IGeneral SurgeryNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes214165$0
99203New patient office or other outpatient visit, 30-44 minutes104104$0
99204New patient office or other outpatient visit, 45-59 minutes6464$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6330$0
49505Repair of groin hernia (5 years or older)3737$0
View full utilization report →

Insurance plans in this area (ZIP 07652)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688652829View full group profile
NameSpecialtyState
Physician AssistantNJ

Reviews

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Frequently asked questions

Does DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) uses 1104895499.
Is DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) still practicing?
DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) is currently listed as active in the public NPI registry.
What healthcare role does DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) hold?
Scheduling teams often label DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) under Other Service Providers. Clinical services aligned with this taxonomy classification.
What area does DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.) serve?
DR. JOSEPH JOHN JR. LICATA (M.D. F.A.C.S.)'s listing highlights Paramus, New Jersey; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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