Leticia Camacho, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00739700 Issued in NJ

Practice address

185 Cedar LN Ste L1
Teaneck, NJ 07666-4303

Phone

(201) 338-5186

NPI assigned

Apr 13, 2006

Last updated

Aug 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Leticia Camacho-Mojica Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lec9081@direct.nyp.org

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

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  • NPI 1851716609
  Medicare reassignment
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  • NPI 1821097437
  NPD (past)
• Laser Spine Institute, LLC

  • Specialist
  • Tampa, FL
  • NPI 1265483895
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1598729071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W GOUVERNEUR AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702626",
            "telephone_number": "386-747-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN STE L1",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664303",
            "telephone_number": "201-338-5186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Green St Ste 123",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "NJ",
            "postal_code": "070951310",
            "country_code": "US",
            "telephone_number": "386-747-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "LETICIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00739700",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3045",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004975-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETICIA",
            "last_name": "CAMACHO-MOJICA",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Liz Calderon, FNP-C
• Victor Aaron Calderon Sr., PSYA.D., SCPSYA
• Nancy Jane Callahan, LCSW MSW
• Alexandra Calles
• Calvary Home Care L.L.C.
• Gesselle Caraballo, B.S.
• Cardiovascular Associates of Teaneck PA
• Shirley J Cardona, DO
• Julie Beth Cardonick, IBCLC, CD (DONA)
• Care One at Teaneck, LLC (Care One at Teaneck)

• Physician Assistant in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.