Joseph Licitra DC LLC
Chiropractor in Bloomfield, New Jersey
1902520109- Practice location
- 300 Broadacres Dr Ste 126A, Bloomfield, NJ 07003-3153
- Phone
- 973-470-0632
- Fax
- 973-893-8259
- Last updated
- September 30, 2022
Joseph Licitra DC LLC is a healthcare organization based in Bloomfield, NJ. Joseph Licitra DC LLC practices in Bloomfield, NJ. The NPI Number for Joseph Licitra DC LLC is 1902520109. The current practice location address for Joseph Licitra DC LLC is 300 Broadacres Dr Ste 126A, Bloomfield, NJ 07003-3153 and can be reached out via phone at 973-470-0632 and via fax at 973-893-8259.
Provider Profile Details
- NPI Number
- 1902520109
- Provider Name
- Joseph Licitra DC LLC
- Provider Entity Type
- Organization
- Address
- 300 Broadacres Dr Ste 126A, Bloomfield, NJ 07003-3153
- Phone Number
- 973-470-0632
- Fax Number
- 973-893-8259
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Joseph Licitra, DC · Owner · 201-247-5363
- Provider Enumeration Date
- September 30, 2022
- Last Update Date
- September 30, 2022
- Certification Date
- September 30, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Broadacres Dr Ste 126A
Bloomfield, NJ 07003-3153 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3153
- Phone Number
- 973-470-0632
- Fax Number
- 973-893-8259
Provider Business Mailing Address Details
- Address
- 300 Broadacres Dr Ste 126A
Bloomfield, NJ 07003-3153 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3153
- Phone Number
- 973-470-0632
- Fax Number
- 973-893-8259
License Information
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Joseph Licitra DC LLC?
The NPI number of Joseph Licitra DC LLC is 1902520109. It was assigned on September 30, 2022 and is currently active in the NPPES registry.
What is the specialty of Joseph Licitra DC LLC?
Joseph Licitra DC LLC is registered under the primary taxonomy Chiropractor (code 111N00000X).
Where does Joseph Licitra DC LLC practice?
The practice location is 300 Broadacres Dr Ste 126A, Bloomfield, NJ 07003-3153. The office can be reached at 973-470-0632 (phone) or 973-893-8259 (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 1902520109 directly on the NPPES registry website.