Ms. Camille M Licata, NP
Nurse Practitioner, Adult Health in Verona, New Jersey
1477980415- Practice location
- 825 Bloomfield Ave, Ste Ll-1, Verona, NJ 07044-1366
- Phone
- 973-233-4493
- Fax
- 973-233-4505
- Last updated
- January 7, 2026
Camille Marie Licata is a Nurse Practitioner, Adult Health based in Verona, NJ. Camille Marie Licata practices in Verona, NJ and has the professional credentials of NP. The NPI Number for Camille Marie Licata is 1477980415 and holds a License No. 26NJ00765000 (NJ). The current practice location address for Camille Marie Licata is 825 Bloomfield Ave, Ste Ll-1, Verona, NJ 07044-1366 and can be reached out via phone at 973-233-4493 and via fax at 973-233-4505.
Provider Profile Details
- NPI Number
- 1477980415
- Provider Name
- Camille Marie Licata
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 825 Bloomfield Ave, Ste Ll-1, Verona, NJ 07044-1366
- Phone Number
- 973-233-4493
- Fax Number
- 973-233-4505
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 6, 2013
- Last Update Date
- January 7, 2026
- Certification Date
- January 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 825 Bloomfield Ave
Ste Ll-1
Verona, NJ 07044-1366 - City
- Verona
- State
- New Jersey
- Zip
- 07044-1366
- Phone Number
- 973-233-4493
- Fax Number
- 973-233-4505
Provider Business Mailing Address Details
- Address
- 700 Rte 46 E
Ste 450
Fairfield, NJ 07004 - City
- Fairfield
- State
- NJ
- Zip
- 07004
- Phone Number
- 973-559-3700
- Fax Number
- 973-559-3700
License Information
- License Number (1)
- 26NJ00765000
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
- License Number (2)
- 26NJ00765000
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Camille M Licata, NP?
The NPI number of Ms. Camille M Licata, NP is 1477980415. It was assigned on October 6, 2013 and is currently active in the NPPES registry.
What is the specialty of Ms. Camille M Licata, NP?
Ms. Camille M Licata, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00765000.
Where does Ms. Camille M Licata, NP practice?
The practice location is 825 Bloomfield Ave, Ste Ll-1, Verona, NJ 07044-1366. The office can be reached at 973-233-4493 (phone) or 973-233-4505 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477980415 directly on the NPPES registry website.