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Contact Information

CCMMA NJ LLC
350 BOULEVARD
PASSAIC, NJ07055-2840
 Phone: 973-365-4300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CCMMA NJ LLC

NPI # 1124543095
LBN Legal business name CCMMA NJ LLC
Authorized official LAURIE LADUCA - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2017
Last updated 10/14/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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