MS. CAMILLE MARIE LICATA NP
NPI 1477980415
Nurse Practitioner - Adult Health in Verona, NJ
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
Specialties & Licenses 2
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Camille Licata reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ridgefield Park, NJ 07660
- Reassigned Medicare billing, New Jersey enrollment
- 6 clinicians in this Medicare group
Hillsborough, NJ 08844
- Reassigned Medicare billing, New Jersey enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJPhysician 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.
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.
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.
Which organizations bill Medicare for Camille Licata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camille Licata reassigns Medicare benefits to 2 organizations: Mindful Cognition PC (Ridgefield Park, NJ) and Digestive Healthcare Center PA (Hillsborough, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camille Licata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Camille Marie Licata, NP · NPI 1477980415
Adult Health physician in Verona, New Jersey. Individual provider, active in the CMS NPPES registry since October 6, 2013.
## Identity
- **NPI:** 1477980415 (Entity type: Individual)
- **Enumerated:** October 6, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 26NJ00765000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 825 BLOOMFIELD AVE, STE LL-1, Verona, NJ 07044-1366
- **Phone:** (973) 233-4493 · **Fax:** (973) 233-4505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mindful Cognition PC (NPI 1912615428, Ridgefield Park, NJ); Digestive Healthcare Center PA (NPI 1255318085, Hillsborough, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477980415) · Data from the CMS NPPES public registry.