NICHOLAS CHARLES LICALZI (NPI# 1447597877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447597877 |
| Entity Type | Individual |
| Full Name | NICHOLAS CHARLES LICALZI |
| Credential | M.D. |
| Practice Address |
17 Andover Rd Rockville Centre NY 11570 |
| Practice Telephone | 5167649770 |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 076806-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
17 ANDOVER RD |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861660276 | Minimally Invassive Surgical Associates of Long Island | Surgery | 3 Atkinson Rd, Rockville Centre, NY 11570-1102 | 2008-02-19 |
| 1366621898 | Daniel Haller | Surgery | 2000 N Village Ave Ste 211, Rockville Centre, NY 11570-1001 | 2007-11-01 |
| 1891714994 | Mercy Medical Center | Surgery | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2006-07-19 |
| 1144201211 | Stratos George Kantounis | Surgery | 60 Berkshire Rd, Rockville Centre, NY 11570-1614 | 2005-11-07 |
| 1588039119 | Long Island Surgical Pllc | Surgery | 2000 N Village Ave Ste 211, Rockville Centre, NY 11570-1001 | 2015-12-08 |
| 1548548225 | Omar Wain | Surgery | 2000 N Village Ave Ste 211, Rockville Centre, NY 11570 | 2011-07-28 |
| 1760798086 | Burton J Glass Md PC | Surgery | 24 Maple Ave, Rockville Centre, NY 11570-4259 | 2010-08-24 |
| 1609907781 | Gs Surgical Associates, PC | Surgery | 30 Hempstead Ave, Suite 144, Rockville Centre, NY 11570-4033 | 2007-03-08 |
| 1164574760 | Jonathan Victor Goldstein | Surgery | 77 N Centre Ave, Suite 306, Rockville Centre, NY 11570-3923 | 2007-01-17 |
| 1831297910 | Erlinda D. Austria | Surgery | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2006-09-20 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on NICHOLAS CHARLES LICALZI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.