Individual provider Active NPI

Joseph John Licata Jr., M.D. F.A.C.S.

  • Specialist
  • Oakland, NJ
National Provider Identifier
1104895499
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
55973 Issued in NJ
Practice address
9 Post Rd Ste M5
Oakland, NJ 07436-1615
Phone
(201) 327-0220
Fax
(201) 327-4871
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 55973 NJ Primary

Addresses

Primary practice location

9 Post Rd Ste M5
Oakland, NJ 07436-1615

Mailing address

9 Post Rd Ste M5
Oakland, NJ 07436-1615
Phone (201) 327-0220

Other practice location 1

1 W Ridgewood Ave Ste 106
Paramus, NJ 07652-2350
Phone (201) 327-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000616 NJ Practitioner - General Surgery 9739167974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JL Surgical LLCGroup PAC ID 4688652829, 2 clinicians

Practice addresses (Care Compare)

9 Post Rd
Suite M5
Oakland, NJ 07436-1615
Phone (201) 327-0220

9 Post Rd
Suite M5
Oakland, NJ 07436-1691

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)23
Hernia repair (minimally invasive)1-10
Mastectomy1-10

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1104895499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 POST RD STE M5",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361615",
            "telephone_number": "201-327-0220",
            "fax_number": "201-327-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POST RD STE M5",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361615",
            "telephone_number": "201-327-0220",
            "fax_number": "201-327-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Ridgewood Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522350",
            "country_code": "US",
            "telephone_number": "201-327-0220",
            "fax_number": "201-327-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICATA",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.   F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "55973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

Verify at the official NPI Registry.