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SUSAN K LICHT P.A.C.
NPI 1447227798
Physician Assistant - Medical in Newtown, CT

Active since March 07, 2006PECOS Enrolled
172 MOUNT PLEASANT RD, NEWTOWN, CT 06470(203) 426-8442(203) 426-6320 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan K Licht P.a.c. NPPES

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

SUSAN K LICHT P.A.C. (NPI 1447227798) is an individual medical provider in Newtown, Connecticut, licensed in (000032) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447227798
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN K LICHTCredential: P.A.C.
Location Address172 MOUNT PLEASANT RDNewtown, CT 06470-1443
Mailing Address172 Mount Pleasant RdNewtown, CT 06470-1443 · (203) 426-8442 · Fax (203) 426-6320
Phone(203) 426-8442
Fax(203) 426-6320
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateJanuary 23, 2008
✔ NPI 1447227798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed · 000032
172 MOUNT PLEASANT RD, Newtown, CT 06470
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS51394CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan K Licht P.a.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

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

DR. DEIDRE MARIE CONDON DMD
Dentist (General Practice)
172 MOUNT PLEASANT RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 426-0045
MICHELLE WEINSTEIN
Counselor (Addiction (Substance Use Disorder))
172 MOUNT PLEASANT RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (475) 237-3212
JESSICA RAGUSA SLP
Speech-Language Pathologist
172 MOUNT PLEASANT RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 725-7729
GARRETT BERNARD GOLISANO DDS
Dentist (General Practice)
172 MOUNT PLEASANT RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 426-0045
GIFT OF GAB,LLC
Speech-Language Pathologist
172 MOUNT PLEASANT RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 725-7729
JESSICA EDWARDS PA-C
Physician Assistant
172 MOUNT PLEASANT RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 426-8442
JENNIFER T HOLLOWAY M.D.
Internal Medicine
172 MOUNT PLEASANT RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 426-8442
MR. ANDREW C BARLOW PA-C
Physician Assistant
172 MOUNT PLEASANT RD
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 486-8442

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 Susan Licht's NPI number?

The NPI number for Susan Licht is 1447227798. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Susan Licht located?

Susan Licht practices at 172 Mount Pleasant Rd, Newtown, CT 06470. The listed phone number is (203) 426-8442.

What is Susan Licht's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Licht enrolled in Medicare?

Yes. Susan Licht is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Licht was last updated on January 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.