Marissa A Licata, RD - Medicare Dietitian in New Hyde Park, NY

  1. Home
  2. Dietitians
  3. NY
  4. New Hyde Park
Marissa A Licata, RD is a medicare enrolled "Dietitian, Registered" provider in New Hyde Park, New York. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 270-05 76th Avenue, Suite 103, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at (516) 881-7060.

Marissa A Licata is licensed to practice in * (Not Available) (license number 877337) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134180169.

Contact Information

Marissa A Licata, RD
270-05 76th Avenue, Suite 103,
New Hyde Park, NY 11040
(516) 881-7060
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMarissa A Licata
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience16 Years
Location270-05 76th Avenue, New Hyde Park, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marissa A Licata graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1134180169
  • Provider Enumeration Date: 03/29/2006
  • Last Update Date: 07/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7214129857
  • Enrollment ID: I20101014000355

Medical Identifiers

Medical identifiers for Marissa A Licata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134180169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 877337 (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Marissa A Licata allows following entities to bill medicare on her behalf.
Provider NameNorth Shore - Lij Medical Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marissa A Licata is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marissa A Licata, RD
7 Hastings Dr,
Merrick, NY 11566-1442

Ph: (212) 346-9161		Marissa A Licata, RD
270-05 76th Avenue, Suite 103,
New Hyde Park, NY 11040

Ph: (516) 881-7060

Reviews and Comments


Dietitian, Registered in New Hyde Park, NY

Sotiria Everett, R.D
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1981 Marcus Ave Ste E110, North Shore-lij Health System, New Hyde Park, NY 11042
Phone: 516-881-7034    Fax: 516-881-7049
Erica Corwin, RD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 1991 Marcus Ave Ste M100, New Hyde Park, NY 11042
Phone: 516-472-3676    
Mrs. Wendy Kaplan, MS, RD, CDN
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1 Delaware Dr, New Hyde Park, NY 11042
Phone: 631-751-3000    Fax: 631-751-0506
Ingris Garcia, RDN, CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1979 Marcus Ave, New Hyde Park, NY 11042
Phone: 516-353-4151    
Adrienne Katz, MS,RD,CDN
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 11 Kemp Ln, New Hyde Park, NY 11040
Phone: 516-741-8356    Fax: 516-741-8356
Barbara Shorter,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 450 Lakeville Rd, Suite M41, New Hyde Park, NY 11042
Phone: 516-734-8500    Fax: 516-734-8535

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.