MRS. ALISSA A. LICATA FNP
NPI 1922341577
Lactation Consultant, Non-RN in New Hyde Park, NY

Active since April 02, 2013PECOS Enrolled
410 LAKEVILLE RD, NEW HYDE PARK, NY 11042(516) 465-3270 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Alissa A. Licata Fnp NPPES

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

MRS. ALISSA A. LICATA FNP (NPI 1922341577) is an individual lactation consultant, non-rn provider in New Hyde Park, New York, licensed in (162005) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922341577
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameMRS. ALISSA A. LICATACredential: FNP
Location Address410 LAKEVILLE RDNew Hyde Park, NY 11042-1101
Mailing Address270 Park AveHuntington, NY 11743-2787 · (631) 796-8444
Sole ProprietorNo
Enumeration DateApril 2, 2013
Last NPPES UpdateJanuary 24, 2020
NPI 1922341577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License Licensed · 162005
Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 337734 (NY)
410 LAKEVILLE RD, New Hyde Park, NY 11042

Other Names 1

Former Name (1)Ms. Alissa A. Macchia Fnp-c

Other Identifiers 1

Other162005Ibclc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Alissa A. Licata Fnp 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 20

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

Neurological Surgery
410 LAKEVILLE RD, SUITE 204
NEW HYDE PARK, NY 11042
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
410 LAKEVILLE RD, SUITE 105
NEW HYDE PARK, NY 11042
Pediatrics
410 LAKEVILLE RD, SUITE 108
NEW HYDE PARK, NY 11042
Nurse Practitioner
410 LAKEVILLE RD, SUITE 107
NEW HYDE PARK, NY 11042
Anesthesiology (Pediatric Anesthesiology)
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Specialist
410 LAKEVILLE RD, 100
NEW HYDE PARK, NY 11042
Physician Assistant
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042

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 Alissa Licata's NPI number?

The NPI number for Alissa Licata is 1922341577. It was assigned to this individual provider in the NPPES registry on April 2, 2013. The provider is also known as Ms. Alissa A. Macchia Fnp-C.

Where is Alissa Licata located?

Alissa Licata practices at 410 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (516) 465-3270.

What is Alissa Licata's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

Is Alissa Licata enrolled in Medicare?

Yes. Alissa Licata is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alissa Licata was last updated on January 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.