MS. CAMILLE MARIE LICATA (NP) – Adult Health Nurse Practitioner, NPI 1477980415
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for MS. CAMILLE MARIE LICATA (NP)
464 Valley Brook Ave Fl 3B
Lyndhurst, NJ 070711995
Phone: (201) 667-2197
Type: Location
622 Valley Rd Ste 5I
Upper Montclair, NJ 070431470
Phone: (201) 667-2197
Type: Location
200 HIGHLAND AVE
STE 100B
GLEN RIDGE, NJ 070281521
Phone: (973) 969-3800
Fax: (973) 969-3232
Type: Location
271 GROVE AVE
STE A
VERONA, NJ 070441731
Phone: (973) 239-2600
Fax: (973) 239-0482
Type: Location
64 S GRAND ST
WESTBURY, NY 115904347
Phone: (347) 837-3014
Type: Mailing
450 LAKEVILLE RD
NEW HYDE PARK, NY 110421118
Phone: (516) 734-8500
Type: Location
700 RTE 46 E
STE 450
FAIRFIELD, NJ 07004
Phone: (973) 559-3700
Fax: (973) 559-3700
Type: Mailing
825 BLOOMFIELD AVE
STE LL-1
VERONA, NJ 070441366
Phone: (973) 233-4493
Fax: (973) 233-4505
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,256.
Total Amount is formed as General ($1,256) + Research ($0) + Ownership ($0) = $1,256.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GENZYME CORPORATION ($240).
Total Amount
$1,256
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $240 |
| Janssen Biotech, Inc. | $137 |
| Janssen Scientific Affairs, LLC | $134 |
| Madrigal Pharmaceuticals | $130 |
| Lilly USA, LLC | $113 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180604000180 | I | Nurse Practitioner | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 80 | 29 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | 19 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 07071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | PA | |
| Gastroenterology, Internal Medicine | NJ | |
| Gastroenterology, Internal Medicine | NJ | |
| P A T H O L O G Y | NJ | |
| Gastroenterology, Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| P A T H O L O G Y | NJ |
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