MATTHEW PAUL LICURSI
NPI 1467283440
Student in an Organized Health Care Education/Training Program in Providence, RI
About Matthew Paul Licursi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW PAUL LICURSI (NPI 1467283440) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Paul Licursi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Matthew Licursi's NPI number?
The NPI number for Matthew Licursi is 1467283440. It was assigned to this individual provider in the NPPES registry on August 12, 2024.
Where is Matthew Licursi located?
Matthew Licursi practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is Matthew Licursi's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Matthew Licursi enrolled in Medicare?
Yes. Matthew Licursi is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Matthew Licursi was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
