Manuel Licitra Fajardo, M.D.
Internal Medicine Physician · Garden City, NY
Manuel Licitra Fajardo, M.D. is an internal medicine physician with a practice address in Garden City, New York, and NPI 1831461417, issued on Jan 30, 2012. Check the license (New York 279410, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Manuel Licitra Fajardo
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- 279410 NY
53519 CT
Self-reported in NPPES; status is on the state search - Practice location
- 100 Somerset Ave, Garden City, NY 11530
- Phone
- (516) 741-4898
- Enumerated
- Jan 30, 2012
- Record last updated
- Jan 23, 2024
- Medicare enrollment
- Enrolled (PECOS I20160909000762); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 12,067 in New York → Look up another NPI →
Verify Manuel Licitra Fajardo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 279410Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average internal medicine physician in 2024
93 Medicare Part D claims for 35 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 91.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Mount Sinai School OF MedicineOceanside, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Manuel Licitra Fajardo among 12,067 internal medicine physician records in New York
Manuel Licitra Fajardo, M.D. is one of 12,067 internal medicine physician records with a practice address in New York. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 68% of them.
- NPI issued2012 · 68% of these records are older, 29% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2011 · median 2002 among the 7,221 with a school on file
- Record last updated2024 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
48 internal medicine physician records list a practice address in Garden City
They are 48 of the 2,065 NPPES records with a practice address in Garden City, and 12,067 internal medicine physician records in New York.
All 12,067 in New York → Every provider in Garden City → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Gregory Ajemian, M.D.Garden City, NY 115301962407627
- Charles Annunziato, MDGarden City, NY 115301700885316
- Francisca Ariola-Hopkins, MDGarden City, NY 115301821080698
- Michael Carl, DOGarden City, NY 115301164413241
- Miguel Cima, MDGarden City, NY 115301053374868
- Vincent Geraci, MDGarden City, NY 115301396702262
- Albert Heuser, M.D.Garden City, NY 115301497716252
- Lisa Lehnert, D.O.Garden City, NY 115301528035870
Common questions
What is Manuel Licitra Fajardo, M.D.'s NPI number?
Manuel Licitra Fajardo, M.D.'s National Provider Identifier (NPI) is 1831461417, issued on Jan 30, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Manuel Licitra Fajardo, M.D. located?
The NPPES record lists a practice address at 100 Somerset Ave, Garden City, NY, 11530. Phone: (516) 741-4898. Providers update this record themselves, so call before visiting.
How can I verify Manuel Licitra Fajardo, M.D.'s license?
NPPES lists New York license number 279410, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Manuel Licitra Fajardo, M.D. prescribe under Medicare Part D?
In 2024, Manuel Licitra Fajardo, M.D. had 93 Medicare Part D claims for 35 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Manuel Licitra Fajardo, M.D.'s MIPS final score?
The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.