Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cmmc Provider Services

Organization Emergency Medicine Physician · NPI 1487192324

Cmmc Provider Services is an Emergency Medicine Physician in West Orange, New Jersey. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3

Practice location Address checks out

95 Old Short Hills Rd
West Orange, NJ 07052-1008
Phone: (732) 423-7497
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1487192324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Mintz — Dir. Finance · (732) 423-7497
NPI enumeratedFebruary 10, 2017
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing address95 Old Short Hills Rd, West Orange, NJ 07052-1008

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