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MARISSA A. LICATA RD
NPI 1134180169
Dietitian, Registered in New Hyde Park, NY

Active since March 29, 2006Accepts Medicare Assignment
91.25/100
CMS Quality Rating
270-05 76TH AVENUE, SUITE 103, NEW HYDE PARK, NY 11040(516) 881-7060 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa A. Licata Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA A. LICATA RD (NPI 1134180169) is an individual dietitian, registered in New Hyde Park, New York, licensed in (877337) and active in the NPI registry since March 2006. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1134180169
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARISSA A. LICATACredential: RD
Location Address270-05 76TH AVENUE, SUITE 103New Hyde Park, NY 11040
Mailing Address7 Hastings DrMerrick, NY 11566-1442 · (212) 346-9161
Phone(516) 881-7060
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 29, 2006
Last NPPES UpdateJuly 27, 2016
✔ NPI 1134180169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 877337
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
270-05 76TH AVENUE, New Hyde Park, NY 11040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marissa A. Licata Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214129857
PECOS Enrollment IDI20101014000355

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVER STANDRING
Student in an Organized Health Care Education/Training Program
270-05 76TH AVENUE, VICTORIA WRATHE, RESEARCH BUILDING- C LEVEL ROOM 039AB
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
ROBERT SILVERMAN
Emergency Medicine
270-05 76TH AVENUE, LIJMC-EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7501
SHINEY ABRAHAM
Pharmacist
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7400
DR. JESSICA ANN GIACINTO
Hospitalist
270-05 76TH AVENUE, 3RD FLOOR, RESEARCH BUILDING, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-3116
MR. KENNETH MICHAEL PFEIFER PA
Physician Assistant
270-05 76TH AVENUE, ANESTHESIA DEPARTMENT
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7390
KASON WAN PA
Physician Assistant
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
SHAFAATUL CHOWDHURY
Pharmacist
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (516) 470-7000
MRS. TAMARA KAREN DIAZ PA
Physician Assistant
270-05 76TH AVENUE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Licata's NPI number?

The NPI number for Marissa Licata is 1134180169. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Marissa Licata located?

Marissa Licata practices at 270-05 76th Avenue Suite 103, New Hyde Park, NY 11040. The listed phone number is (516) 881-7060.

What is Marissa Licata's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Marissa Licata enrolled in Medicare?

Yes. Marissa Licata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marissa Licata was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.