Anthony Victor Licatese, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

010996 Issued in NY

Practice address

55 E Bridge St
Oswego, NY 13126-2120

Phone

(315) 342-6300

Fax

(315) 342-6302

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anthony V. Licatese , DC, P.C.Group PAC ID 0446344113, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anthony V. Licatese , DC, P.C.

  • Chiropractor
  • Oswego, NY
  • NPI 1740476712
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568569630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262120",
            "telephone_number": "315-342-6300",
            "fax_number": "315-342-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262120",
            "telephone_number": "315-342-6300",
            "fax_number": "315-342-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICATESE",
        "first_name": "ANTHONY",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel A Levy
• Krista Marie Lewis
• Carly Anne Leworthy, MSED
• Stephanie Liberati, OTR/L
• Ashley Licata, LMSW
• Michelle G Licciardello, PT, CERT MDT
• Curtis Charles Lieber, P.A.
• Christina Marie Liepke, M.D.
• Matthew John Liepke, M.D.
• Light House Family Chiropractic, P.C.

• Chiropractor in Oswego, NY
• Providers in Oswego, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.