Cmmc Provider Services

LBN: Cmmc Provider Services
Cmmc Provider Services is an health care organization with primary practice located at 95 Old Short Hills Rd , West Orange NJ 07052-1008. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Cmmc Provider Services can be contacted via phone (732) 423-7497, or through Mintz, Jacqueline via phone (732) 423-7497.

Contact Information

Primary practice address
95 Old Short Hills Rd West Orange NJ 07052-1008
Phone: (732) 423-7497
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mintz, Jacqueline
Phone: (732) 423-7497

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1487192324
LBN Legal business name Cmmc Provider Services
DBA Doing business as
Authorized official Mintz, Jacqueline
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2017
Last updated Jul 13th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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