Active NPIIndividual providerSole proprietor

Daniel Licamara

Physical Therapy Assistant in Wayne, New Jersey

NPI Number1689344574
Practice location
1055 Hamburg Tpke, Wayne, NJ 07470-3235
Fax
973-710-1059
Last updated
September 14, 2021

Daniel Licamara is a Physical Therapy Assistant based in Wayne, NJ. Daniel Licamara practices in Wayne, NJ. The NPI Number for Daniel Licamara is 1689344574 and holds a License No. 40QB00386400 (NJ). The current practice location address for Daniel Licamara is 1055 Hamburg Tpke, Wayne, NJ 07470-3235 and can be reached out via phone at 973-559-4056 and via fax at 973-710-1059.

Provider Profile Details

NPI Number
1689344574
Provider Name
Daniel Licamara
Provider Entity Type
Individual
Gender
Male
Address
1055 Hamburg Tpke, Wayne, NJ 07470-3235
Phone Number
973-559-4056
Fax Number
973-710-1059
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
September 14, 2021
Last Update Date
September 14, 2021
Certification Date
September 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1055 Hamburg Tpke
Wayne, NJ 07470-3235
City
Wayne
Zip
07470-3235
Phone Number
973-559-4056
Fax Number
973-710-1059
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859

License Information

License Number
40QB00386400
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Daniel Licamara?

The NPI number of Daniel Licamara is 1689344574. It was assigned on September 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Daniel Licamara?

Daniel Licamara is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00386400.

Where does Daniel Licamara practice?

The practice location is 1055 Hamburg Tpke, Wayne, NJ 07470-3235. The office can be reached at 973-559-4056 (phone) or 973-710-1059 (fax).

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 1689344574 directly on the NPPES registry website.

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