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DR. SALVATORE LICCIARDONE DO
NPI 1205889045
Family Medicine in Park Ridge, NJ

Active since May 19, 2006
74 PASCACK RD, PARK RIDGE, NJ 07656(201) 391-4166 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Salvatore Licciardone Do NPPES

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

DR. SALVATORE LICCIARDONE DO (NPI 1205889045) is an individual family medicine provider in Park Ridge, New Jersey, licensed in New Jersey (25MB02322300) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1205889045
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SALVATORE LICCIARDONECredential: DO
Location Address74 PASCACK RDPark Ridge, NJ 07656-1935
Mailing Address1319 Wickford LnLanoka Harbor, NJ 08734-2912 · (609) 242-0073
Phone(201) 391-4166
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 14, 2010
✔ NPI 1205889045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB02322300
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
74 PASCACK RD, Park Ridge, NJ 07656
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Other Identifiers 2

Medicare ID-Type Unspecified442688
Medicare UPINE06194NJ

Other Providers at the Same Location NPPES 9

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

DR. ROBIN YONNA FEIGELIS M.D.
Internal Medicine (Cardiovascular Disease)
74 PASCACK RD, SUITE 10
PARK RIDGE, NJ 07656
Bergen County (201) 573-9266
ELANA T CLARK M.D.
Pediatrics
74 PASCACK RD
PARK RIDGE, NJ 07656
Bergen County (201) 326-7120
DR. SONIA VULAKH D.D.S
Dentist (General Practice)
74 PASCACK RD, SUITE 8
PARK RIDGE, NJ 07656
Bergen County (201) 391-3060
MADELEINE SOPHIE QUINN D.P.M.
Podiatrist
74 PASCACK RD
PARK RIDGE, NJ 07656
Bergen County (201) 572-4518
DR. LEE H GREENBERG DPM
Podiatrist (Foot & Ankle Surgery)
74 PASCACK RD
PARK RIDGE, NJ 07656
Bergen County (201) 391-1113
JEFFREY GEWIRTZ DPM
Podiatrist
74 PASCACK RD, SUITE 6
PARK RIDGE, NJ 07656
Bergen County (201) 391-1113
MICHAEL D. WEINTHAL D.P.M.
Podiatrist (Foot & Ankle Surgery)
74 PASCACK RD, SUITE 6
PARK RIDGE, NJ 07656
Bergen County (201) 391-1113
JASMINE FELIX
Dentist (Orthodontics and Dentofacial Orthopedics)
74 PASCACK RD
PARK RIDGE, NJ 07656
Bergen County (201) 556-0006

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 Salvatore Licciardone's NPI number?

The NPI number for Salvatore Licciardone is 1205889045. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Salvatore Licciardone located?

Salvatore Licciardone practices at 74 Pascack Rd, Park Ridge, NJ 07656. The listed phone number is (201) 391-4166.

What is Salvatore Licciardone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Salvatore Licciardone was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.