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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: August 09, 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 Molina Healthcare, WellPoint.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHWIN NELLIPARAMBIL JITHEESH
Student in an Organized Health Care Education/Training Program
350 BOULEVARD, ST. MARY'S HOSPITAL MEMORIAL BUILDING, ROOM 416
PASSAIC, NJ 07055
Passaic County (404) 503-3936
BAY RADIATION ONCOLOGY,P.L.L.C
Radiology (Therapeutic Radiology)
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 365-5088
EMERGENCY PHYSICIAN ASSOCIATES OF NORTH JERSEY, PC
Emergency Medicine
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (856) 686-4306
ROYAL RX INC
Pharmacy (Community/Retail Pharmacy)
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 365-7143
DR. CHANG J LEE MD
Anesthesiology
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 779-7361
RON JAKO DARANTINAO DOMINGO
Student in an Organized Health Care Education/Training Program
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (732) 910-1335
JOHN P. HALLENBECK DO
Emergency Medicine
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 365-4489
MARGARET J WU M.D.
Anesthesiology
350 BOULEVARD
PASSAIC, NJ 07055
Passaic County (973) 365-4300

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.

What insurance does Ccmma Nj LLC accept?

Health plans from 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 3 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.