Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Camille Marie Licata, NP

Individual provider Adult Health Nurse Practitioner · NPI 1477980415

MS. Camille Marie Licata, NP is a Nurse Practitioner in Verona, New Jersey. Qualified in 2013, 13 years ago. Practices with Digestive Healthcare Center PA, a 14-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

825 Bloomfield Ave Ste LL-1
Verona, NJ 07044-1366
Phone: (973) 233-4493
Fax: (973) 233-4505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 200 Highland Ave, Glen Ridge, NJ 07028-1521 — (973) 969-3800
  • 464 Valley Brook Ave Fl 3b, Lyndhurst, NJ 07071-1995 — (201) 667-2197
  • 622 Valley Rd Ste 5i, Upper Montclair, NJ 07043-1470 — (201) 667-2197
  • 271 Grove Ave, Verona, NJ 07044-1731 — (973) 239-2600

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ00765000 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NJ00765000 (NJ)

Record details

NPI number1477980415
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 6, 2013
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Digestive Healthcare Center Pa — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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