Joseph J Licitra, DC | |
300 Broadacres Dr Ste 126, Bloomfield, NJ 07003-3153 | |
(973) 470-0632 | |
(973) 893-8259 |
Full Name | Joseph J Licitra |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 43 Years |
Location | 300 Broadacres Dr Ste 126, Bloomfield, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891795514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00224400 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Joseph Licitra Dc, Llc | 3779952056 | 2 |
Provider Name | Joseph Licitra Dc, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902520109 PECOS PAC ID: 3779952056 Enrollment ID: O20221208000541 |
Mailing Address | Practice Location Address |
---|---|
Joseph J Licitra, DC 300 Broadacres Dr Ste 126a, Bloomfield, NJ 07003-3153 Ph: (973) 470-0632 | Joseph J Licitra, DC 300 Broadacres Dr Ste 126, Bloomfield, NJ 07003-3153 Ph: (973) 470-0632 |
Dr. Anne E Coffey, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1129 Broad St, Bloomfield, NJ 07003 Phone: 973-338-3620 Fax: 973-338-4849 | |
Dr. Vincent Giro Caruso, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 27 West St, Suite 2f, Bloomfield, NJ 07003 Phone: 973-489-7484 Fax: 973-680-0079 | |
Bloomfield Spine & Rehabilitation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St, Suite 207, Bloomfield, NJ 07003 Phone: 973-233-7104 | |
Dr. Ronald Patrick Dellanno, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 532 Broad St, Bloomfield, NJ 07003 Phone: 973-429-9650 Fax: 973-743-9693 | |
Robert Rosania Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16 Watsessing Ave, Bloomfield, NJ 07003 Phone: 973-768-3651 | |
Dr. Donald M Castellaro, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1145 Broad St, Bloomfield, NJ 07003 Phone: 973-338-0093 Fax: 973-338-3415 | |
Advance Rehab Services Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 206 Belleville Ave, Suite 201, Bloomfield, NJ 07003 Phone: 973-743-9700 Fax: 973-743-9730 |