CMMC PROVIDER SERVICES – NPI #1487192324
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CMMC PROVIDER SERVICES is a provider located in WEST ORANGE, NJ. NPPES has assigned the NPI number 1487192324 to CMMC PROVIDER SERVICES on February 10, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 6 years ago on Jul 13, 2020. 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 CMMC PROVIDER SERVICES below.

NPI Profile for
CMMC PROVIDER SERVICES

NPI Number
1487192324
Enumeration Date

(more than 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
CMMC PROVIDER SERVICES
Primary location
95 OLD SHORT HILLS RD
WEST ORANGE, NJ 07052-1008
Phone: (732) 423-7497 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACQUELINE MINTZ
DIR. FINANCE
Phone: (732) 423-7497
Updated
Certification Date
Jul 13, 2020

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.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
208000000X
- Pediatrics
207RC0200X
- Internal Medicine / Critical Care Medicine

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.