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CCMMA NJ LLC
NPI 1124543095
Anesthesiology - Critical Care Medicine in Passaic, NJ

Active since August 11, 2017
350 BOULEVARD, PASSAIC, NJ 07055(973) 365-4300 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2022, Feb 4, 2022, Aug 11, 2017 (3 updates tracked since 2017).

About Ccmma Nj Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCMMA NJ LLC (NPI 1124543095) is a healthcare organization registered as a critical care medicine in Passaic, New Jersey and active in the NPI registry since August 2017. The organization maintains 17 additional practice locations and lists Laurie Laduca, Manager, as its authorized official.

NPPES Registry Identity

NPI1124543095
Entity TypeOrganization
Primary Taxonomy207LC0200X
Legal Business NameCCMMA NJ LLC
Location Address350 BOULEVARDPassaic, NJ 07055-2840
Mailing AddressPo Box 631800Cincinnati, OH 45263-1800 · (845) 702-2711 · Fax (888) 220-6560
Phone(973) 365-4300
Organization SubpartNo
Authorized OfficialLaurie LaducaManager · (845) 702-2711
Enumeration DateAugust 11, 2017
Last NPPES UpdateOctober 14, 20223 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1124543095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
Definition
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedSurgeryTaxonomy 208600000X
350 BOULEVARD, Passaic, NJ 07055
Open in Google Maps ↗

Secondary Practice Locations 17

Location 1425 Newburgh CtWest New York, NJ 07093-8340 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 2100 Medical Center WaySomers Point, NJ 08244-2300 · Phone (609) 653-3500
Location 3224 W 18th St Apt 8ANew York, NY 10011-4558 · Phone (914) 523-2189
Location 424 Beachmont TerCaldwell, NJ 07006-4544 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 56565 Fannin StHouston, TX 77030-2703 · Phone (713) 790-3311 · Fax (888) 220-6560
Location 61 Messenger DrColts Neck, NJ 07722-2124 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 710 Kristen CtSomerset, NJ 08873-5048 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 81315 Marlkress RdCherry Hill, NJ 08003-2625 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 9111 Central AveNewark, NJ 07102-1909 · Phone (973) 877-5000
Location 1050 Brown CirParamus, NJ 07652-5204 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 1129 Garden PlWestwood, NJ 07675-1503 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 12285 Aycrigg AvePassaic, NJ 07055-3737 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 13120 N Delaware StSandusky, MI 48471-1009 · Phone (810) 648-3770 · Fax (888) 220-6560
Location 14201 NW R D Mize RdBlue Springs, MO 64014-2513 · Phone (816) 228-5900 · Fax (888) 220-6560
Location 15425 W 5th StEast Liverpool, OH 43920-2498 · Phone (330) 385-7200 · Fax (888) 220-6560
Location 16600 S Monroe StEnid, OK 73701-7211 · Phone (580) 233-2300 · Fax (888) 220-6560
Location 17129 N Washington StSumter, SC 29150-4949 · Phone (803) 774-9000 · Fax (888) 220-6560

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ccmma Nj Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

51

Medicare enrollment records show 51 clinicians reassign Medicare billing to Ccmma Nj LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Internal Medicine23
Critical Care (Intensivists)7
General Surgery6
Pulmonary Disease4
Nurse Practitioner3
Neurology2
Emergency Medicine1
Family Practice1
4 other specialties4

Nearest to this location (20)

See all 51
Steffi Jane Montenegro, RN, APN
Nurse Practitioner
NPI 1275391542
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOSSame address
Milan Patel, M.D.
Internal Medicine
NPI 1093078347
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOS✔ Accepts MedicareSame address
Moutaz Ghrewati, MD
Internal Medicine
NPI 1568982189
703 MAIN ST
Paterson, NJ 07503
(973) 754-2000
✔ PECOS✔ Accepts Medicare3.3 mi
Hari Sharma, MD
Pulmonary Disease
NPI 1922359652
181 FRANKLIN AVE STE 205
Nutley, NJ 07110
(973) 667-8620
✔ PECOS✔ Accepts Medicare3.4 mi
Mohamed Elagami, MD
Gastroenterology
NPI 1417440439
30 PROSPECT AVE
Hackensack, NJ 07601
(551) 996-3091
✔ PECOS✔ Accepts Medicare4.6 mi
Erik Svensson, M.D.
Family Practice
NPI 1770879371
30 PROSPECT AVE
Hackensack, NJ 07601
(551) 996-4466
✔ PECOS✔ Accepts Medicare4.6 mi
Ahmad Qatanani, DO
Internal Medicine
NPI 1780205658
30 PROSPECT AVE
Hackensack, NJ 07601
(551) 996-9150
✔ PECOS✔ Accepts Medicare4.6 mi
Raghad Said, MD
Critical Care (Intensivists)
NPI 1659318103
30 PROSPECT AVE
Hackensack, NJ 07601
(551) 996-2000
✔ PECOS✔ Accepts Medicare4.6 mi
Sakina Shamsi, DO
Internal Medicine
NPI 1083363584
92 SUMMIT AVE
Hackensack, NJ 07601
(201) 342-0066
✔ PECOS✔ Accepts Medicare4.6 mi
Ali Elsayed, M.D.
Critical Care (Intensivists)
NPI 1871702977
I BAY AVENUE
Montclair, NJ 07042
(267) 262-3758
✔ PECOS✔ Accepts Medicare4.8 mi
Yahya Dikengil, MD
Emergency Medicine
NPI 1073687273
388 POMPTON AVE STE 8
Cedar Grove, NJ 07009
(973) 433-0665
✔ PECOS✔ Accepts Medicare4.9 mi
Waqas Rahman, MD
Internal Medicine
NPI 1699271346
385 PROSPECT AVE STE 204
Hackensack, NJ 07601
(551) 996-9150
✔ PECOS✔ Accepts Medicare5.1 mi
Saraswati Dayal, MD
General Practice
NPI 1548208135
5 SUMMIT AVE SUITE 105
Hackensack, NJ 07601
(201) 996-2900
✔ PECOS✔ Accepts Medicare5.4 mi
Michael Zeitchek, DO
General Surgery
NPI 1538628581
5 SUMMIT AVE STE 105
Hackensack, NJ 07601
(551) 996-2900
✔ PECOS✔ Accepts Medicare5.9 mi
Neel Desai, M.D.
Internal Medicine
NPI 1083952436
140 E RIDGEWOOD AVE STE 415S
Paramus, NJ 07652
(855) 212-2273
✔ PECOS✔ Accepts Medicare8.2 mi
Hinesh Upadhyay, M.D.
Pulmonary Disease
NPI 1144632944
300 CENTRAL AVE
East Orange, NJ 07018
(973) 672-8400
✔ PECOS✔ Accepts Medicare8.3 mi
Maria Borowski, NP-C
Nurse Practitioner
NPI 1073016879
1115 BROADWAY FL 12
New York, NY 10010
(908) 419-5147
✔ PECOS✔ Accepts Medicare11 mi
Huma Sheikh, M.D.
Neurology
NPI 1730476680
10 UNION SQ E SUITE 5-D
New York, NY 10003
(212) 844-8888
✔ PECOS✔ Accepts Medicare12 mi
Manasa Srinivasa Murthy, MD
Internal Medicine
NPI 1912641283
29 E 29TH ST
Bayonne, NJ 07002
(201) 858-5000
✔ PECOS✔ Accepts Medicare13 mi
Richard Catanzaro, M.D.
Psychiatry
NPI 1205079076
111 E 210TH ST MONTEFIORE MEDICAL CENTER - KLAU 1
Bronx, NY 10467
(718) 920-4295
✔ PECOS✔ Accepts Medicare14 mi
See all 51 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccmma Nj LLC's NPI number?

The NPI number for Ccmma Nj LLC is 1124543095. It was assigned to this organization in the NPPES registry on August 11, 2017.

Where is Ccmma Nj LLC located?

Ccmma Nj LLC is located at 350 Boulevard, Passaic, NJ 07055. The listed phone number is (973) 365-4300.

What is Ccmma Nj LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Ccmma Nj LLC enrolled in Medicare?

Yes. Ccmma Nj LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ccmma Nj LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 12 Medicare specialties reassign their Medicare billing to Ccmma Nj LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (23), Critical Care (Intensivists) (7) and General Surgery (6). Of these, 2 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ccmma Nj LLC accept?

Health plans from CareSource, Molina Healthcare and WellPoint list Ccmma Nj LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ccmma Nj LLC was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.