Jl Surgical LLC
NPI 1649443292ActiveOrganization· Surgery· Oakland, NJ
Surgery in Oakland, New Jersey, registered in NPPES in April 2008. The authorized official on file is Joseph J. Licata, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649443292 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2008 |
| Last updated in NPPES | Apr 2, 2025 |
| Certified by provider | Apr 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 55973 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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