Healthcare Provider Details

I. General information

NPI: 1578425161
Provider Name (Legal Business Name): SICA PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SWAYZE LN
CHESTER NJ
07930-2647
US

IV. Provider business mailing address

7 SWAYZE LN
CHESTER NJ
07930-2647
US

V. Phone/Fax

Practice location:
  • Phone: 908-627-1379
  • Fax:
Mailing address:
  • Phone: 908-627-1379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELO ANTONIO SICA
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 908-627-1379