MS. CAMILLE MARIE LICATA NP
NPI 1477980415
Nurse Practitioner - Adult Health in Verona, NJ

Active since October 06, 2013PECOS EnrolledAccepts Medicare Assignment
825 BLOOMFIELD AVE, STE LL-1, VERONA, NJ 07044(973) 233-4493(973) 233-4505 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2026, Aug 18, 2021 (2 updates tracked since 2021).

About Ms. Camille Marie Licata Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAMILLE MARIE LICATA NP (NPI 1477980415) is an individual adult health provider in Verona, New Jersey, licensed in New Jersey (26NJ00765000) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital - Somerset, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1477980415
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. CAMILLE MARIE LICATACredential: NP
Location Address825 BLOOMFIELD AVE, STE LL-1Verona, NJ 07044-1366
Mailing Address700 Rte 46 E, Ste 450Fairfield, NJ 07004 · (973) 559-3700 · Fax (973) 559-3700
Fax(973) 233-4505
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 6, 2013
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1477980415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ00765000
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 26NJ00765000 (NJ)
825 BLOOMFIELD AVE, Verona, NJ 07044

Secondary Practice Locations 4

Location 1464 Valley Brook Ave Fl 3BLyndhurst, NJ 07071-1995 · Phone (201) 667-2197
Location 2622 Valley Rd Ste 5IUpper Montclair, NJ 07043-1470 · Phone (201) 667-2197
Location 3200 HIGHLAND AVE, STE 100BGLEN RIDGE, NJ 07028-1521 · Phone (973) 969-3800 · Fax (973) 969-3232
Location 4271 GROVE AVE, STE AVERONA, NJ 07044-1731 · Phone (973) 239-2600 · Fax (973) 239-0482

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Camille Marie Licata Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234431370
PECOS Enrollment IDI20180604000180
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
825 BLOOMFIELD AVE
VERONA, NJ 07044
Ophthalmology
825 BLOOMFIELD AVE
VERONA, NJ 07044
Obstetrics & Gynecology (Gynecology)
825 BLOOMFIELD AVE
VERONA, NJ 07044
Advanced Practice Midwife
825 BLOOMFIELD AVE
VERONA, NJ 07044
Internal Medicine (Cardiovascular Disease)
825 BLOOMFIELD AVE, STE LL-1
VERONA, NJ 07044
Internal Medicine
825 BLOOMFIELD AVE, SUITE LL-1
VERONA, NJ 07044
Internal Medicine
825 BLOOMFIELD AVE, SUITE LL-1
VERONA, NJ 07044
Specialist
825 BLOOMFIELD AVE, SUITE 205
VERONA, NJ 07044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Licata's NPI number?

The NPI number for Camille Licata is 1477980415. It was assigned to this individual provider in the NPPES registry on October 6, 2013.

Where is Camille Licata located?

Camille Licata practices at 825 Bloomfield Ave Ste Ll-1, Verona, NJ 07044. The listed phone number is (973) 233-4493.

What is Camille Licata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Camille Licata enrolled in Medicare?

Yes. Camille Licata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Camille Licata affiliated with any hospitals?

According to CMS data, Camille Licata is affiliated with Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Camille Licata was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.