Jeffrey Paul Licata, PA-C
NPI 1104385947ActiveIndividual· Physician Assistant, Medical· Staten Island, NY
Physician Assistant, Medical (PA-C) with Barnabas Health Medical Group PC and 1 other group, practicing in Staten Island, New York. 299 Medicare patients in 2024, $55,708 paid; all of their 121 Part D prescriptions were generic. Lists Community Medical Center as a hospital affiliation.
Overview
| NPI | 1104385947 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 19, 2019 |
| Last updated in NPPES | Dec 19, 2023 |
| Certified by provider | Dec 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 031134 | NY |
| Physician Assistant, Medical | 363AM0700X | 25MP00516300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NJ); Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 299 |
|---|---|
| Services billed | 1,394 across 36 procedure codes |
| Paid by Medicare | $55,708 |
Part D prescriptions in 2024
| Prescriptions (claims) | 121 · 122 30-day fills |
|---|---|
| Patients | 104 |
| Total drug cost | $700.22 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Barnabas Health Medical Group PCNewark, NJ · 1,070 clinicians
- True North Medical Group PCCedarhurst, NY · 188 clinicians
Hospital affiliation
- Community Medical CenterToms River, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 74 physician assistants in Staten Island · All physician assistants in New York