MICHAEL ROBERT LICATA MSPAS, PA-C
NPI 1417768334
Physician Assistant in Mineola, NY
About Michael Robert Licata Mspas, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL ROBERT LICATA MSPAS, PA-C (NPI 1417768334) is an individual physician assistant in Mineola, New York and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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
Michael Robert Licata Mspas, Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Suny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Licata's NPI number?
The NPI number for Michael Licata is 1417768334. It was assigned to this individual provider in the NPPES registry on January 20, 2025.
Where is Michael Licata located?
Michael Licata practices at 161 Willis Ave, Mineola, NY 11501. The listed phone number is (516) 280-6645.
What is Michael Licata's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Michael Licata enrolled in Medicare?
Yes. Michael 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.
Is Michael Licata affiliated with any hospitals?
According to CMS data, Michael Licata is affiliated with Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Michael Licata was last updated on January 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
