Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Salvatore Licciardone, DO

Family Medicine Physician in Park Ridge, NJ · enumerated 2006 · practices at Michael D. Weinthal D.P.M..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205889045

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Registry record

Entity type Individual (Type 1)

Name Dr. Salvatore Licciardone

Credential DO

Sex Male

Practice address 74 Pascack Rd, Park Ridge, NJ, 07656

Phone (201) 391-4166

Enumeration date May 19, 2006

Last updated in NPPES Oct 14, 2010

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 25MB02322300 (NJ) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Salvatore Licciardone practice?

The practice location on file with NPPES is in Park Ridge, NJ. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Salvatore Licciardone?

The National Provider Identifier (NPI) for Salvatore Licciardone is 1205889045, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-14.