Justine Licato

Primary specialty

SpecialistTaxonomy code 174400000X

License

2663450 Issued in NY

Practice address

8403 57TH Ave
Elmhurst, NY 11373-4833

Phone

(718) 899-9060

NPI assigned

Jun 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Emilia'S Kids

  • Early Intervention Provider Agency
  • Elmhurst, NY
  • NPI 1295970150
  NPD (past)
• Next Step Therapy Applied Behavior Analysis, PLLC

  • Behavior Analyst
  • Elmhurst, NY
  • NPI 1235098286
  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1407348717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 74TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792516",
            "telephone_number": "347-558-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 57TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734833",
            "telephone_number": "718-899-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICATO",
        "first_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2663450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahui Liang
• Zhen Hong Liang
• Pamela Benyun Liaw, RPH
• Liberty Physical Medicine and Rehabilitation, P.C.
• Jennifer Denise Liburd, M.D.
• Regina Lichtsztral, M.D.
• Joseph J. Lieber, M.D.
• Laurie Lieberman, LMSW
• Ronni M. Lieberman, M.D.
• Talia Liebman

• Specialist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.