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CMMC PROVIDER SERVICES
NPI 1487192324
Emergency Medicine in West Orange, NJ

Active since February 10, 2017
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052(732) 423-7497 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2020, Feb 10, 2017 (2 updates tracked since 2017).

About Cmmc Provider Services NPPES

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

CMMC PROVIDER SERVICES (NPI 1487192324) is a healthcare organization registered as an emergency medicine in West Orange, New Jersey and active in the NPI registry since February 2017. The organization lists Jacqueline Mintz, Dir. Finance, as its authorized official.

NPPES Registry Identity

NPI1487192324
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCMMC PROVIDER SERVICES
Location Address95 OLD SHORT HILLS RDWest Orange, NJ 07052-1008
Mailing Address95 Old Short Hills RdWest Orange, NJ 07052-1008 · (732) 423-7497
Phone(732) 423-7497
Organization SubpartNo
Authorized OfficialJacqueline MintzDir. Finance · (732) 423-7497
Enumeration DateFebruary 10, 2017
Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
✔ NPI 1487192324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedPediatricsTaxonomy 208000000X
95 OLD SHORT HILLS RD, West Orange, NJ 07052
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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 Ambetter Health, Ambetter Health of Delaware.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.

CRYSHEDIA NA'IMAH DAVIS
Peer Specialist
95 OLD SHORT HILLS RD
WEST ORANGE, NJ 07052
Essex County (999) 999-9999
MRS. DENISE FATIMA OLIVEIRA RN
Registered Nurse
95 OLD SHORT HILLS RD
WEST ORANGE, NJ 07052
Essex County (973) 322-4750
BARBARA EKLUND APRN
Hospice Care, Community Based
95 OLD SHORT HILLS RD
WEST ORANGE, NJ 07052
Essex County (973) 322-4800
DR. FRED MARTIN JACOBS MD JD
Internal Medicine (Pulmonary Disease)
95 OLD SHORT HILLS RD, SAINT BARNABAS HEALTH CARE SYSTEM
WEST ORANGE, NJ 07052
Essex County (973) 322-4011
HEE JIN KIM CRNA
Nurse Anesthetist, Certified Registered
95 OLD SHORT HILLS RD
WEST ORANGE, NJ 07052
Essex County (973) 322-5000
NBIMC PROVIDER SERVICES
Pathology (Anatomic Pathology)
95 OLD SHORT HILLS RD
WEST ORANGE, NJ 07052
Essex County (973) 322-4382
RWJBH PRIMARY CARE SERVICES
Internal Medicine
95 OLD SHORT HILLS RD
WEST ORANGE, NJ 07052
Essex County (973) 322-5000
ISAAC SONG
Psychiatry & Neurology (Psychiatry)
95 OLD SHORT HILLS RD
WEST ORANGE, NJ 07052
Essex County (732) 917-3864

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 Cmmc Provider Services's NPI number?

The NPI number for Cmmc Provider Services is 1487192324. It was assigned to this organization in the NPPES registry on February 10, 2017.

Where is Cmmc Provider Services located?

Cmmc Provider Services is located at 95 Old Short Hills Rd, West Orange, NJ 07052. The listed phone number is (732) 423-7497.

What is Cmmc Provider Services's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Cmmc Provider Services accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Cmmc Provider Services 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 Cmmc Provider Services was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.