Michael Robert Licata, MSPAS, PA-C
- Hospital affiliations
- 1
- Industry payments
- $125
- Medical groups
- 2
- State license
- 1
- Year NPI issued
- 2025
- Practice address
- Health Sciences Center Suny, Stony Brook, NY 11794
- Practice phone
- Call (631) 444-4000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Michael Licata's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Michael Robert Licata is a physician assistant in Stony Brook, New York
Michael Licata practices at Stony Brook University Hospital in Stony Brook, New York, part of Stony Brook University.
Michael Licata's NPI, 1417768334, was assigned on January 20, 2025.
- NPI
- 1417768334NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1254859929
- NPI enumeration date
- January 20, 2025
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (631) 444-4000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 28
- Medical school graduation
- 2024
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Michael Robert Licata practices at 2 locations in Stony Brook, New York
Michael Licata's primary practice is Stony Brook University Hospital, at Health Sciences Center Suny, Stony Brook, NY 11794 in Suffolk County. The practice phone is (631) 444-4000. Michael Licata also practices at Stony Brook University Hospital, 101 Nicolls Rd, Stony Brook, NY 11794.
- Stony Brook University HospitalPrimaryHealth Sciences Center Suny, Stony Brook, NY 11794 · Suffolk CountyPhone(631) 444-4000
- Stony Brook University Hospital101 Nicolls Rd, Stony Brook, NY 11794 · Suffolk CountyPhone(631) 444-4100
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Michael Robert Licata is affiliated with 4 sites of care and 2 medical groups
Michael Licata's primary practice is Stony Brook University Hospital in Stony Brook, New York, part of Stony Brook University. The medical group on file is Stony Brook Orthopaedic Associates. Dmand AI also links Michael Licata to 2 more group practices and clinics, 1 clinical lab and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Michael Robert Licata's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Michael Licata practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Stony Brook University Hospital | Available with a free account |
| +3 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Stony Brook University and 6.2K+ hospitals, with verified contacts in the same login.
Michael Robert Licata is one of 11,456 physician assistants in New York
Physician assistant is Michael Licata's primary specialty in the NPI Registry, under taxonomy code 363A00000X.
Specialties and state licenses
- Physician assistantPrimary
Physician assistants near Michael Licata
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Michael Robert Licata's patients have a median age of 63
Across all payers, Dmand AI patient panel data puts Michael Licata's median patient age at 63, with 48% women.
Michael Licata's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 63
Patient panel by sex, all payers
- Women48%
- Men49%
Source: Dmand AI Patient Panel Data
How Michael Robert Licata takes part in Medicare
Michael Licata accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Michael Robert Licata received $125 in industry payments in 2025
CMS Open Payments shows 1 general payment to Michael Licata from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Merck Sharp & Dohme Corporation paid the most, $125.
Companies that paid Michael Licata the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Michael Robert Licata's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Michael Robert Licata
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Michael Robert Licata's NPI number?
Michael Robert Licata's NPI number is 1417768334. It was assigned on January 20, 2025, and it is active in the NPI Registry.
What does Michael Robert Licata specialize in?
Michael Robert Licata is a physician assistant in Stony Brook, New York. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Michael Robert Licata practice?
Michael Licata practices at Health Sciences Center Suny, Stony Brook, NY 11794. Michael Licata also practices at 101 Nicolls Rd, Stony Brook, NY 11794. Michael Licata's primary practice is Stony Brook University Hospital in Stony Brook, New York, part of Stony Brook University. Dmand AI also links Michael Licata to 2 group practices and clinics, 1 clinical lab and 1 medical group.
What is Michael Robert Licata's office phone number?
The practice phone on file for Michael Licata is (631) 444-4000.
Which hospitals is Michael Robert Licata affiliated with?
Michael Licata practices at Stony Brook University Hospital in Stony Brook, New York.
What medical group is Michael Robert Licata part of?
Michael Licata is linked to Stony Brook Orthopaedic Associates. Dmand AI links Michael Licata to 1 more medical group.
Does Michael Robert Licata accept Medicare?
Yes. CMS lists Michael Licata as accepting Medicare assignment.
Has Michael Robert Licata received payments from drug or device companies?
CMS Open Payments shows $125 in general payments to Michael Licata from 1 company from 2025 to 2025. The largest total came from Merck Sharp & Dohme Corporation.
How long has Michael Robert Licata been practicing?
Michael Licata graduated from medical school in 2024, 2 years ago.
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