Search › New Jersey › 363LA2200X
Camille Licata, NP
NPI 1477980415 · on the registry since 2013
Practice
- Address
- 825 Bloomfield Ave
Ste Ll-1
Verona, NJ 07044 - Phone
- (973) 233-4493
- Fax
- (973) 233-4505
- Organisation at this address
- Jg Optical Inc.
Michael C Milano Md Llc
J&M Mariyampillai L L C
West Essex Medical Group Pa
Lawrence M Davidson M.D. P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 271 Grove Ave, Verona, NJ
- 200 Highland Ave, Glen Ridge, NJ
- 622 Valley Rd Ste 5i, Upper Montclair, NJ
- 464 Valley Brook Ave Fl 3b, Lyndhurst, NJ
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- Psychiatric/Mental Health Nurse Practitioner
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey