Camille Marie Licata, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00765000 Issued in NJ

Practice address

825 Bloomfield Ave
Ste LL-1
Verona, NJ 07044-1366

Phone

(973) 233-4493

Fax

(973) 233-4505

NPI assigned

Oct 6, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Digestive Healthcare Center PAGroup PAC ID 8224007497, 14 clinicians

Mindful Cognition PCGroup PAC ID 9739527938, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clicata130459@epicdirect.rwjbh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Digestive Healthcare Center PA

  • Specialist
  • Hillsborough, NJ
  • NPI 1255318085
  Medicare reassignment Care Compare group NPD
• Mindful Cognition PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ridgefield Park, NJ
  • NPI 1912615428
  Medicare reassignment Care Compare group NPD
• Tapestry Telehealth PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1992215446
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Robert Wood Johnson University Hospital Inc

  • General Acute Care Hospital
  • Somerville, NJ
  • NPI 1003236878
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1477980415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RTE 46 E",
            "address_2": "STE 450",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "07004",
            "telephone_number": "973-559-3700",
            "fax_number": "973-559-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BLOOMFIELD AVE",
            "address_2": "STE LL-1",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441366",
            "telephone_number": "973-233-4493",
            "fax_number": "973-233-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 GROVE AVE",
            "address_2": "STE A",
            "address_purpose": "LOCATION",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441731",
            "country_code": "US",
            "telephone_number": "973-239-2600",
            "fax_number": "973-239-0482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 HIGHLAND AVE",
            "address_2": "STE 100B",
            "address_purpose": "LOCATION",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281521",
            "country_code": "US",
            "telephone_number": "973-969-3800",
            "fax_number": "973-969-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 Valley Rd Ste 5I",
            "address_purpose": "LOCATION",
            "city": "Upper Montclair",
            "state": "NJ",
            "postal_code": "070431470",
            "country_code": "US",
            "telephone_number": "201-667-2197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "464 Valley Brook Ave Fl 3B",
            "address_purpose": "LOCATION",
            "city": "Lyndhurst",
            "state": "NJ",
            "postal_code": "070711995",
            "country_code": "US",
            "telephone_number": "201-667-2197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICATA",
        "first_name": "CAMILLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-06",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00765000",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00765000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Layne, MD
• LB Quality Plus Nurses, Inc.
• Patrick Michael Lee Jr., DPT
• Angela Lenzi
• William Lewcyk, DMD
• Mark B. Liebert, PT, PHD
• Carol Lipsitch, M.D.
• Edmund S. Liu, M.D.
• Evelyn C Lopez, PMHNP
• Paul J Loverme, M.D.

• Adult Health Nurse Practitioner in Verona, NJ
• Providers in Verona, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.