FREDERICK LICCIARDI MD - NPI 1447207527 - Obstetrics & Gynecology in New York, NY

Q: What is Frederick Licciardi's NPI number?

The NPI number for Frederick Licciardi is 1447207527. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is Frederick Licciardi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Q: Is Frederick Licciardi enrolled in Medicare?

No. Frederick Licciardi has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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About Frederick Licciardi Md NPPES

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

FREDERICK LICCIARDI MD (NPI 1447207527) is an individual reproductive endocrinology provider in New York, New York, licensed in New York (182351) and active in the NPI registry since May 2006. He has opted out of Medicare through September 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447207527

Entity TypeIndividualMale

Primary Taxonomy207VE0102X

Provider Legal NameFREDERICK LICCIARDICredential: MD

Location Address159 E 53RD ST FL 3New York, NY 10022-4602

Mailing Address700 Hicksville Rd Ste 205Bethpage, NY 11714-3472 · (267) 339-7843

Phone(212) 263-7754

Fax(212) 263-8827

Sole ProprietorNo

Enumeration DateMay 27, 2006

Last NPPES UpdateMarch 25, 20254 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1447207527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code207VE0102X

License✔ Licensed in NY · 182351

Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

159 E 53RD ST FL 3, New York, NY 10022

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Frederick Licciardi Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2017 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2017

Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

Other Providers at the Same Location NPPES 8

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

LISA KUMP-CHECCHIO MD

Obstetrics & Gynecology (Reproductive Endocrinology)