Individual provider Active NPI

Jon F Sicat, D.O.

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1972552230
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB063641 Issued in NJ
Practice address
166 Lyons Ave FL 1
Newark, NJ 07112-2016
Phone
(973) 926-7428
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MB063641 NJ
Internal Medicine Physician 207R00000X MB063641 NJ Primary

Addresses

Primary practice location

166 Lyons Ave FL 1
Newark, NJ 07112-2016

Mailing address

1013 Shadowlawn Dr
Green Brook, NJ 08812-1754
Phone (973) 926-4949

Other practice location 1

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-4949

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
I20080327000086 NJ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2062598352 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

166 Lyons Ave
Newark, NJ 07112-2016
Phone (732) 229-2020

8 Mountain Blvd
Warren, NJ 07059-2638

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB063641NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Observation Associates LLC Internal Medicine CurrentSince Oct 28, 2023 Accepting new patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Oct 28, 2023 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Jul 1, 2000 Accepting new patients
University Physician Associates of New Jersey Inc Internal Medicine CurrentSince Sep 30, 2022 Accepting new patients
University Physician Associates of New Jersey Inc Pediatrics CurrentSince Sep 30, 2022 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Jul 1, 2000 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients

Locations

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Fl 1
Newark, NJ 07112
Phone (973) 926-7282

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

201 Lyons Ave
#L3
Newark, NJ 07112
Phone (973) 926-7323

201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: jsicat76145@epicdirect.rwjbh.org

Organizations & group practices 7

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1972552230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SHADOWLAWN DR",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121754",
            "telephone_number": "973-926-4949",
            "fax_number": "973-923-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 LYONS AVE FL 1",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122016",
            "telephone_number": "973-926-7428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-4949",
            "fax_number": "973-923-8063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICAT",
        "first_name": "JON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MB063641",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB063641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.