Active NPIOrganization

Ccmma Nj LLC

Anesthesiology, Critical Care Medicine in Passaic, New Jersey

NPI Number1124543095
Practice location
350 Boulevard, Passaic, NJ 07055-2840
Fax
—
Last updated
October 14, 2022

Ccmma Nj LLC is a healthcare organization based in Passaic, NJ. Ccmma Nj LLC practices in Passaic, NJ. The NPI Number for Ccmma Nj LLC is 1124543095. The current practice location address for Ccmma Nj LLC is 350 Boulevard, Passaic, NJ 07055-2840 and can be reached out via phone at 973-365-4300.

Provider Profile Details

NPI Number
1124543095
Provider Name
Ccmma Nj LLC
Provider Entity Type
Organization
Address
350 Boulevard, Passaic, NJ 07055-2840
Phone Number
973-365-4300
Primary Taxonomy
Anesthesiology, Critical Care Medicine · 207LC0200X
Organization Subpart
No
Authorized Official
Laurie Laduca · Manager · 845-702-2711
Provider Enumeration Date
August 11, 2017
Last Update Date
October 14, 2022
Certification Date
October 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Boulevard
Passaic, NJ 07055-2840
Zip
07055-2840
Phone Number
973-365-4300
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
Po Box 631800
Cincinnati, OH 45263-1800
City
Cincinnati
State
OH
Zip
45263-1800
Phone Number
845-702-2711
Fax Number
888-220-6560

License Information

Taxonomy (2)
Internal Medicine, Pulmonary Disease · 207RP1001X
Taxonomy (3)
Surgery · 208600000X
Taxonomy (4)
Anesthesiology, Critical Care Medicine · 207LC0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ccmma Nj LLC?

The NPI number of Ccmma Nj LLC is 1124543095. It was assigned on August 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Ccmma Nj LLC?

Ccmma Nj LLC is registered under the primary taxonomy Anesthesiology, Critical Care Medicine (code 207LC0200X).

Where does Ccmma Nj LLC practice?

The practice location is 350 Boulevard, Passaic, NJ 07055-2840. The office can be reached at 973-365-4300 (phone).

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 1124543095 directly on the NPPES registry website.

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