CDA MEDICAL, PLLC
NPI 1134088156
Community Health Worker in Stony Brook, NY

Active since January 16, 2026
207 HALLOCK RD, SUITE 201, STONY BROOK, NY 11790(877) 358-8648(877) 877-6875 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cda Medical, Pllc NPPES

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

CDA MEDICAL, PLLC (NPI 1134088156), doing business as Passport Health, is a healthcare organization registered as a community health worker in Stony Brook, New York and active in the NPI registry since January 2026. The organization lists Juana Slack, Medical Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1134088156
Entity TypeOrganization
Primary Taxonomy172V00000X
Legal Business NameCDA MEDICAL, PLLC
Location Address207 HALLOCK RD, SUITE 201Stony Brook, NY 11790
Mailing Address4343 East Outlier Blv., Suite 100wPhoenix, AZ 85008-6507 · (844) 358-8648 · Fax (877) 877-6875
Fax(877) 877-6875
Organization SubpartNo
Authorized OfficialJuana SlackMedical Billing Specialist · (480) 646-9086
Enumeration DateJanuary 16, 2026
NPI 1134088156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
207 HALLOCK RD, Stony Brook, NY 11790

Other Names 1

Doing Business AsPassport Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Registered Nurse
207 HALLOCK RD, SUITE 201
STONY BROOK, NY 11790
Audiologist-Hearing Aid Fitter
207 HALLOCK RD, SUITE 208
STONY BROOK, NY 11790
Dermatology
207 HALLOCK RD, SUITE 211
STONY BROOK, NY 11790
Speech-Language Pathologist
207 HALLOCK RD, SUITE 6
STONY BROOK, NY 11790
Speech-Language Pathologist
207 HALLOCK RD
STONY BROOK, NY 11790
Home Health
207 HALLOCK RD
STONY BROOK, NY 11790
Pediatrics
207 HALLOCK RD
STONY BROOK, NY 11790
Registered Nurse
207 HALLOCK RD
STONY BROOK, NY 11790

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 Cda Medical, PLLC's NPI number?

The NPI number for Cda Medical, PLLC is 1134088156. It was assigned to this organization in the NPPES registry on January 16, 2026. The provider is doing business as Passport Health.

Where is Cda Medical, PLLC located?

Cda Medical, PLLC is located at 207 Hallock Rd Suite 201, Stony Brook, NY 11790. The listed phone number is (877) 358-8648.

What is Cda Medical, PLLC's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Cda Medical, PLLC was last updated on January 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.