Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lauren Audrey Licata, MD

Individual provider Surgery Physician · NPI 1023337763

Dr. Lauren Audrey Licata, MD is a General Surgery in Middletown, New York. Graduated from New York Medical College in 2005, 21 years ago. Practices with Garnet Health Doctors PC, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey, New York and Ohio.

Years since qualifying
21
Trained at
New York Medical College
Licensed in
NJ, NY, OH
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

707 E Main St
Middletown, NY 10940-2650
Phone: (845) 333-7575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68 Harris Bushville Rd, Harris, NY 12742 — (845) 333-8909

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 278537 (NY)
Surgery Physician Taxonomy 208600000X · Licence 255MA08698600 (NJ)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 35123573 (OH)

Record details

NPI number1023337763
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2010
Last updated in NPPESNovember 12, 2024
Certification dateNovember 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2005 (21 years in practice)
Group practice Garnet Health Doctors Pc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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