CDA MEDICAL, PLLC
NPI 1245199389
Community Health Worker in Staten Island, NY

Active since January 15, 2026
774 MANOR RD, SUITE 204, STATEN ISLAND, NY 10314(877) 358-8648(877) 877-6875 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cda Medical, Pllc NPPES

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

CDA MEDICAL, PLLC (NPI 1245199389), doing business as Passport Health, is a healthcare organization registered as a community health worker in Staten Island, 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

NPI1245199389
Entity TypeOrganization
Primary Taxonomy172V00000X
Legal Business NameCDA MEDICAL, PLLC
Location Address774 MANOR RD, SUITE 204Staten Island, NY 10314
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 15, 2026
NPI 1245199389 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.
774 MANOR RD, Staten Island, NY 10314

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 18

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

Durable Medical Equipment & Medical Supplies (Customized Equipment)
774 MANOR RD, SUITE 202
STATEN ISLAND, NY 10314
Nurse Practitioner (Adult Health)
774 MANOR RD
STATEN ISLAND, NY 10314
Physical Therapist
774 MANOR RD, SUITE 209
STATEN ISLAND, NY 10314
Nurse Practitioner (Family)
774 MANOR RD, SUITE 204
STATEN ISLAND, NY 10314
Occupational Therapist
774 MANOR RD
STATEN ISLAND, NY 10314
Occupational Therapist
774 MANOR RD
STATEN ISLAND, NY 10314
Nurse Practitioner (Family)
774 MANOR RD, SUITE 204
STATEN ISLAND, NY 10314
Nurse Practitioner (Adult Health)
774 MANOR RD, SUITE 204
STATEN ISLAND, NY 10314

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 1245199389. It was assigned to this organization in the NPPES registry on January 15, 2026. The provider is doing business as Passport Health.

Where is Cda Medical, PLLC located?

Cda Medical, PLLC is located at 774 Manor Rd Suite 204, Staten Island, NY 10314. 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 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.