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JOSEPH J LICITRA DC
NPI 1891795514
Chiropractor in Bloomfield, NJ

Active since July 22, 2005Accepts Medicare Assignment
300 BROADACRES DR STE 126, BLOOMFIELD, NJ 07003(973) 470-0632(973) 893-8259 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joseph J Licitra Dc NPPES

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

JOSEPH J LICITRA DC (NPI 1891795514) is an individual chiropractor in Bloomfield, New Jersey, licensed in New Jersey (38MC00224400) and active in the NPI registry since July 2005. He is a graduate of New York Chiropractic College (1981).

NPPES Registry Identity

NPI1891795514
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJOSEPH J LICITRACredential: DC
Location Address300 BROADACRES DR STE 126Bloomfield, NJ 07003-3153
Mailing Address300 Broadacres Dr Ste 126aBloomfield, NJ 07003-3153 · (973) 470-0632 · Fax (973) 893-8259
Phone(973) 470-0632
Fax(973) 893-8259
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 1981
Enumeration DateJuly 22, 2005
Last NPPES UpdateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
✔ NPI 1891795514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00224400
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
300 BROADACRES DR STE 126, Bloomfield, NJ 07003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Joseph J Licitra Dc 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 ID6204800279
PECOS Enrollment IDI20040825000034

Medicare Billing Reassignment

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

Joseph Licitra Dc LLC
Same address
Chiropractor
300 BROADACRES DR STE 126A
Bloomfield, NJ 07003
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1902520109 (973) 470-0632

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

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
368 services33 patients

Other Providers at the Same Location NPPES 2

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

SCORDILIS FAMILY CHIROPRACTIC, PA
Chiropractor (Sports Physician)
300 BROADACRES DR STE 126
BLOOMFIELD, NJ 07003
Essex County (973) 473-4481
DOMINIC ORAMAS DC
Chiropractor
300 BROADACRES DR STE 126
BLOOMFIELD, NJ 07003
Essex County (973) 272-5978

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 Joseph Licitra's NPI number?

The NPI number for Joseph Licitra is 1891795514. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Joseph Licitra located?

Joseph Licitra practices at 300 Broadacres Dr Ste 126, Bloomfield, NJ 07003. The listed phone number is (973) 470-0632.

What is Joseph Licitra's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Joseph Licitra enrolled in Medicare?

Yes. Joseph Licitra 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 Joseph Licitra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Licitra reassigns Medicare benefits to Joseph Licitra Dc LLC (Bloomfield, NJ). 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 Joseph Licitra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Licitra accept?

Health plans from Oscar Health list Joseph Licitra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Licitra was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.