CCP FIRST ASSIST LLC (NPI# 1023364312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023364312 |
Entity Type | Organization |
Organization Name | CCP FIRST ASSIST LLC |
Practice Address |
100 Madison Ave Morristown NJ 07960-6136 |
Mailing Address |
68 Turtleback Rd Califon NJ 07830-3508 |
Practice Telephone | 9739715000 |
Mailing Telephone | 9086236138 |
Mailing Fax Number | 2019338705 |
Enumeration Date | 2012-07-24 |
Last Update Date | 2012-07-30 |
Authorized Official Name | CATHRYN POCOROBA (OWNER) |
Authorized Official Telephone | 9086236138 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00111000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
100 MADISON AVE |
City | MORRISTOWN |
State | NJ |
Zip Code | 07960-6136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932109493 | Marc Eliot Goldschmidt | Internal Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2005-07-27 |
1649885351 | Talha Iqbal | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-09-09 |
1972114361 | Atlantic Imaging Services LLC | Radiology | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-08-11 |
1992322093 | Ruth Henriquez | Nurse Practitioner | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-07-06 |
1639796154 | Gianna Scaglione Pa-c LLC | Physician Assistant | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-30 |
1982220240 | Jordan Nelson | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-23 |
1669096707 | Stacie Tittamin | Registered Nurse | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-04 |
1851915235 | Maureen Younan | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-02 |
1972124493 | Simrat Kaur Veera | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-05-06 |
1003436734 | Anthony Rizzuti | Registered Nurse | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-04-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
Find all providers in zip 07960 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316350150 | Megan Offray | Physician Assistant | 290 Madison Ave Ste 5, Morristown, NJ 07960-7401 | 2014-06-10 |
1336371152 | Sarah J Ries | Physician Assistant | 160 Hanover Ave, Morristown, NJ 07962-2266 | 2009-08-12 |
1013099449 | Barbara Jean Lopez | Physician Assistant | 110 Madison Ave, Morristown, NJ 07960-6013 | 2006-10-19 |
1558357038 | Kirsten Kolstad | Physician Assistant | 160 E Hanover Ave, Morristown, NJ 07960-3150 | 2005-09-21 |
1053919340 | Lindsey Mikaela Layman | Physician Assistant | 2815 W Andrew Johnson Hwy, Morristown, TN 37814-3216 | 2020-10-09 |
1891314639 | Abigail Lee Dittig | Physician Assistant | 2815 W Andrew Johnson Hwy, Morristown, TN 37814-3216 | 2020-04-12 |
1003391129 | Sarah Katelyn Brooks | Physician Assistant | 210 E Economy Rd, Morristown, TN 37814-3756 | 2018-09-25 |
1750732335 | Jillian Conner | Physician Assistant | 100 Madison Ave, Morristown, NJ 07960-6136 | 2016-06-25 |
1043627185 | Jaymes Testa | Physician Assistant | 100 Madison Ave, Morristown, NJ 07960-6136 | 2014-07-22 |
1558600544 | Jennifer Ristic | Physician Assistant | 261 James St Ste 3c, Morristown, NJ 07960 | 2013-02-11 |
Find all providers in MORRISTOWN |
City | MORRISTOWN |
Zip Code | 07960 |
Please comment or provide details below to improve the information on CCP FIRST ASSIST LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.