CCMMA NJ LLC – NPI #1124543095
Anesthesiology

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

CCMMA NJ LLC is an anesthesiologist located in PASSAIC, NJ. NPPES has assigned the NPI number 1124543095 to CCMMA NJ LLC on August 11, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 17 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LC0200X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Critical Care Medicine

The NPI profile was previously updated about 4 years ago on Oct 14, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCMMA NJ LLC below.

NPI Profile for
CCMMA NJ LLC

NPI Number
1124543095
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCMMA NJ LLC
Primary location
350 BOULEVARD
PASSAIC, NJ 07055-2840
Phone: (973) 365-4300 Fax:
17 Other location(s):
120 N Delaware St
Sandusky, MI 48471-1009
Phone: (810) 648-3770
Fax: (888) 220-6560
201 NW R D Mize Rd
Blue Springs, MO 64014-2513
Phone: (816) 228-5900
Fax: (888) 220-6560
24 Beachmont Ter
Caldwell, NJ 07006-4544
Phone: (845) 702-2711
Fax: (888) 220-6560
1315 Marlkress Rd
Cherry Hill, NJ 08003-2625
Phone: (845) 702-2711
Fax: (888) 220-6560
1 Messenger Dr
Colts Neck, NJ 07722-2124
Phone: (845) 702-2711
Fax: (888) 220-6560
111 Central Ave
Newark, NJ 07102-1909
Phone: (973) 877-5000
50 Brown Cir
Paramus, NJ 07652-5204
Phone: (845) 702-2711
Fax: (888) 220-6560
285 Aycrigg Ave
Passaic, NJ 07055-3737
Phone: (845) 702-2711
Fax: (888) 220-6560
100 Medical Center Way
Somers Point, NJ 08244-2300
Phone: (609) 653-3500
10 Kristen Ct
Somerset, NJ 08873-5048
Phone: (845) 702-2711
Fax: (888) 220-6560
425 Newburgh Ct
West New York, NJ 07093-8340
Phone: (845) 702-2711
Fax: (888) 220-6560
29 Garden Pl
Westwood, NJ 07675-1503
Phone: (845) 702-2711
Fax: (888) 220-6560
224 W 18th St Apt 8A
New York, NY 10011-4558
Phone: (914) 523-2189
425 W 5th St
East Liverpool, OH 43920-2498
Phone: (330) 385-7200
Fax: (888) 220-6560
600 S Monroe St
Enid, OK 73701-7211
Phone: (580) 233-2300
Fax: (888) 220-6560
129 N Washington St
Sumter, SC 29150-4949
Phone: (803) 774-9000
Fax: (888) 220-6560
6565 Fannin St
Houston, TX 77030-2703
Phone: (713) 790-3311
Fax: (888) 220-6560
Mailing address
PO BOX 631800
CINCINNATI, OH 45263-1800
Phone: (845) 702-2711 Fax: (888) 220-6560
Organization Subpart
No
Authorized Official
LAURIE LADUCA
MANAGER
Phone: (845) 702-2711
Updated
Certification Date
Oct 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.