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DR. ROBERT J LICUL D.D.S.
NPI 1700869765
Dentist - Oral and Maxillofacial Pathology in Westbury, NY

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
959 BRUSH HOLLOW RD, WESTBURY, NY 11590(516) 333-5900(516) 333-5868 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Robert J Licul D.d.s. NPPES

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

DR. ROBERT J LICUL D.D.S. (NPI 1700869765) is an individual oral and maxillofacial pathology provider in Westbury, New York, licensed in New York (044656) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1992).

NPPES Registry Identity

NPI1700869765
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. ROBERT J LICULCredential: D.D.S.
Location Address959 BRUSH HOLLOW RDWestbury, NY 11590-1778
Mailing Address959 Brush Hollow RdWestbury, NY 11590-1778 · (516) 333-5900 · Fax (516) 333-5868
Phone(516) 333-5900
Fax(516) 333-5868
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1992
Enumeration DateNovember 23, 2005
Last NPPES UpdateApril 17, 2008
✔ NPI 1700869765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in NY · 044656
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
959 BRUSH HOLLOW RD, Westbury, NY 11590
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Other Identifiers 3

Medicare UPINU80973NY
Medicaid02071410NY
Medicare ID-Type UnspecifiedD40001NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert J Licul D.d.s. 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.

PECOS PAC ID1557349883
PECOS Enrollment IDI20040712001440
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Licul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Long Island Oral Surgery Associates
5.1 mi
Oral & Maxillofacial Surgery
99 COLD SPRING ROAD, SUITE 3
Syosset, NY 11791
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1164614178 (516) 921-2880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
X-ray of face bones, 1-2 views 70140
An X-ray of face bones, with 1-2 views, is a simple, quick imaging test. It uses a small amount of radiation to produce images of the bones in your face. This test can help detect fractures, infections, or other abnormalities. It's painless and non-invasive.
35 services35 patients
Removal of growth or cyst of lower jaw bone 21040
This procedure involves the surgical removal of a growth or cyst from the lower jaw bone. It's performed under anesthesia. The surgeon makes an incision in the mouth or skin to access and remove the growth. This helps prevent further complications and improves oral health.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11590 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 17

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

SUPERIOR QUALITY PHYSICAL THERAPY AND REHAB SERVICES, P.C.
Clinic/Center (Physical Therapy)
959 BRUSH HOLLOW RD, SUITE 105
WESTBURY, NY 11590
Nassau County (646) 479-1640
DR. JENNIFER MARIE HILL D.M.D
Dentist (Periodontics)
959 BRUSH HOLLOW RD, #103
WESTBURY, NY 11590
Nassau County (516) 993-6883
DR. HARVEY MERANUS D.D.S.
Dentist (Oral and Maxillofacial Surgery)
959 BRUSH HOLLOW RD
WESTBURY, NY 11590
Nassau County (516) 333-5900
LONG ISLAND ORAL SURGERY ASSOCIATES, PC.
Oral & Maxillofacial Surgery
959 BRUSH HOLLOW RD, SUITE 101
WESTBURY, NY 11590
Nassau County (516) 333-5900
DR. DAVID ALAN WALLS DDS
Dentist (Oral and Maxillofacial Surgery)
959 BRUSH HOLLOW RD, SUITE 102
WESTBURY, NY 11590
Nassau County (516) 333-5900
PINNACLE DENTISTRY PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
959 BRUSH HOLLOW RD
WESTBURY, NY 11590
Nassau County (516) 333-3033
DR. JOSEPH J BOSCARINO D.D.S
Dentist (Periodontics)
959 BRUSH HOLLOW RD
WESTBURY, NY 11590
Nassau County (516) 333-6744
GLEN F EHRENMAN DDS AND MAHNAZ KHAN DDS PC
Dentist (Pediatric Dentistry)
959 BRUSH HOLLOW RD, SUITE 101
WESTBURY, NY 11590
Nassau County (516) 333-3033

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 Robert Licul's NPI number?

The NPI number for Robert Licul is 1700869765. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Robert Licul located?

Robert Licul practices at 959 Brush Hollow Rd, Westbury, NY 11590. The listed phone number is (516) 333-5900.

What is Robert Licul's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Robert Licul enrolled in Medicare?

Yes. Robert Licul 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.

Which organization bills Medicare for Robert Licul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Licul reassigns Medicare benefits to Long Island Oral Surgery Associates (Syosset, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Licul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Licul was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.