CCMMA NJ LLC
CCMMA NJ LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124543095, based in Passaic, NJ. The organization lists 4 taxonomy classifications, with Critical Care Medicine (Anesthesiology) Physician recorded as primary.
Getting there
The practice address on file is 350 BOULEVARD, Passaic, NJ 07055. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8123392495
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Critical Care Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207LC0200X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician Critical Care Medicine | — | — | primary |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine | — | — | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | |
| 208600000X | Surgery Physician | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1124543095 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 11, 2017 |
| Last updated | Oct 14, 2022 |
| Status | Active |
| Practice address |
350 BOULEVARD Passaic, NJ 07055 (973) 365-4300 |
| Mailing address |
PO BOX 631800 Cincinnati, OH 45263 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 5 | 4 | 3 | 0 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 1 | 4 | 6 | 0 | 9 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.