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

Dr. Stephen Charles Licetti, DO

Individual provider Family Medicine Physician · NPI 1558508192

Dr. Stephen Charles Licetti, DO is a Family Medicine Physician in Ewing, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

34 Scotch Rd Ste 1
Ewing, NJ 08628-2528
Phone: (609) 498-7670
Fax: (609) 385-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB08833000 (NJ)

Record details

NPI number1558508192
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 20, 2009
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020
Mailing address210 Yorktown Plz, Elkins Park, PA 19027-1424

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