Joseph Licitra Dc LLC
NPI 1902520109ActiveOrganization· Chiropractor· Bloomfield, NJ
Chiropractor in Bloomfield, New Jersey, registered in NPPES in September 2022. The authorized official on file is Joseph Licitra, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902520109 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2022 |
| Last updated in NPPES | Sep 30, 2022 |
| Certified by provider | Sep 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
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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