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

Dr. Thomas C Licata, DO

Individual provider Emergency Medicine Physician · NPI 1811193253

Dr. Thomas C Licata, DO is an Emergency Medicine in Stratford, New Jersey. Graduated from Rutgers School of Dental Medicine in 2006, 20 years ago. Practices with Atlantic Emergency Associates PA, a 47-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
20
Trained at
Rutgers School of Dental Medicine
Licensed in
NJ
In the registry since
2007
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

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone: (856) 566-7121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB08708700 (NJ)

Record details

NPI number1811193253
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESSeptember 1, 2010
Mailing address18 E Laurel Rd, Stratford, NJ 08084-1327

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolRUTGERS SCHOOL OF DENTAL MEDICINE
Graduated 2006 (20 years in practice)
Group practice Atlantic Emergency Associates Pa — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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