NPPES file of Aug 9, 2026

Michael Robert Licata, MSPAS, PA-C

Physician Assistant · Mineola, NY

Michael Robert Licata, MSPAS, PA-C is a physician assistant with a practice address in Mineola, New York, and NPI 1417768334, issued on Jan 20, 2025. Check the license with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417768334
Name
Michael Robert Licata
Credential
MSPAS, PA-C
Primary taxonomy
Physician Assistant 363A00000X
Practice location
161 Willis Ave, Mineola, NY 11501
Phone
(516) 280-6645
Enumerated
Jan 20, 2025
Record last updated
Jan 20, 2025
Medicare enrollment
Enrolled (PECOS I20250516000271); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →

Also registered at 161 Willis Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jerrold Gorski, MDOrthopaedic Surgery Physician1497725865
  2. Bruce Ross, MDOrthopaedic Surgery Physician1295708600
  3. Hank Ross, MDOrthopaedic Surgery Physician1104899517
  4. Omar Saleem, M.D.Orthopaedic Foot and Ankle Surgery Physician1275744583
  5. Behruj Shikdar, DPMFoot & Ankle Surgery Podiatrist1326734740
  6. Toni Adrianne Tobias, PAPhysician Assistant1467122150

Verify Michael Robert Licata in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

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Bills Medicare through 2 group practices

  1. Stony Brook Orthopaedic Associates, University Faculty Practice CorporEast Setauket, NY
  2. True North Medical Group PCSmithtown, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michael Robert Licata among 15,555 physician assistant records in New York

Michael Robert Licata, MSPAS, PA-C is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 89% of them.

  • NPI issued2025 · 89% of these records are older, 4% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 52% of these records are
  • Graduated2024 · median 2018 among the 8,158 with a school on file
  • Record last updated2025 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

240 physician assistant records list a practice address in Mineola

They are 240 of the 2,077 NPPES records with a practice address in Mineola, and 15,555 physician assistant records in New York.

All 15,555 in New York → Every provider in Mineola → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Susan Chung, P.A.Mineola, NY 115011821044967
  2. Vincent Gandolfo, PAMineola, NY 115011417069667
  3. Jean Graham, PAMineola, NY 115011184675043
  4. Gary Guja, PAMineola, NY 115011417069675
  5. Heidi Hess, PA-CMineola, NY 115011699748293
  6. Melanie Hodge-Randazzo, PAMineola, NY 115011750300265
  7. Edward Koenig, PAMineola, NY 115011558312223
  8. David Laspina, RPA-CMineola, NY 115011639281884

Common questions

What is Michael Robert Licata, MSPAS, PA-C's NPI number?

Michael Robert Licata, MSPAS, PA-C's National Provider Identifier (NPI) is 1417768334, issued on Jan 20, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Michael Robert Licata, MSPAS, PA-C located?

The NPPES record lists a practice address at 161 Willis Ave, Mineola, NY, 11501. Phone: (516) 280-6645. Providers update this record themselves, so call before visiting.

How can I verify Michael Robert Licata, MSPAS, PA-C's license?

Search the New York board that licenses this profession; the NPPES record confirms identity only.

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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.