Active NPIIndividual providerSole proprietor

Dr. John J Liccardo, MD

Psychiatry & Neurology, Psychiatry in Titusville, New Jersey

NPI Number1588071591
Practice location
1 Forrest Blend Drive, Titusville, NJ 08560-1316
Fax
—
Last updated
July 22, 2014

John J. Liccardo is a Psychiatry & Neurology, Psychiatry based in Titusville, NJ. John J. Liccardo practices in Titusville, NJ and has the professional credentials of MD. The NPI Number for John J. Liccardo is 1588071591 and holds a License No. MD023263E (PA). The current practice location address for John J. Liccardo is 1 Forrest Blend Drive, Titusville, NJ 08560-1316 and can be reached out via phone at 609-883-3886.

Provider Profile Details

NPI Number
1588071591
Provider Name
John J. Liccardo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Forrest Blend Drive, Titusville, NJ 08560-1316
Phone Number
609-883-3886
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 22, 2014
Last Update Date
July 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Forrest Blend Drive
Titusville, NJ 08560-1316
Zip
08560-1316
Phone Number
609-883-3886
Titusville, NJ 08560Get directions →

Provider Business Mailing Address Details

Address
1 Forrest Blend Drive
Titusville, NJ 08560-1316
City
Titusville
State
NJ
Zip
08560-1316
Phone Number
609-883-3886

License Information

License Number
MD023263E
License State
PA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John J Liccardo, MD?

The NPI number of Dr. John J Liccardo, MD is 1588071591. It was assigned on July 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. John J Liccardo, MD?

Dr. John J Liccardo, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in PA under license number MD023263E.

Where does Dr. John J Liccardo, MD practice?

The practice location is 1 Forrest Blend Drive, Titusville, NJ 08560-1316. The office can be reached at 609-883-3886 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588071591 directly on the NPPES registry website.

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