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DR. STEPHEN CHARLES LICETTI D.O.
NPI 1558508192
Family Medicine in Ewing, NJ

Active since January 20, 2009PECOS Enrolled
34 SCOTCH RD STE 1, EWING, NJ 08628(609) 498-7670(609) 385-4150 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2020, Nov 10, 2016, May 18, 2016 (3 updates tracked since 2016).

About Dr. Stephen Charles Licetti D.o. NPPES

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

DR. STEPHEN CHARLES LICETTI D.O. (NPI 1558508192) is an individual family medicine provider in Ewing, New Jersey, licensed in New Jersey (25MB08833000) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558508192
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN CHARLES LICETTICredential: D.O.
Location Address34 SCOTCH RD STE 1Ewing, NJ 08628-2528
Mailing Address210 Yorktown PlzElkins Park, PA 19027-1424
Phone(609) 498-7670
Fax(609) 385-4150
Sole ProprietorNo
Enumeration DateJanuary 20, 2009
Last NPPES UpdateSeptember 2, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
✔ NPI 1558508192 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 · 25MB08833000
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.
34 SCOTCH RD STE 1, Ewing, NJ 08628
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Charles Licetti D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08628 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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 Stephen Licetti's NPI number?

The NPI number for Stephen Licetti is 1558508192. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Where is Stephen Licetti located?

Stephen Licetti practices at 34 Scotch Rd Ste 1, Ewing, NJ 08628. The listed phone number is (609) 498-7670.

What is Stephen Licetti's specialty?

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

Is Stephen Licetti enrolled in Medicare?

Yes. Stephen Licetti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Licetti was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.