OrganizationActive
Cda Medical, PLLC
NPI 1245199389 · Community Health Worker · Staten Island, NY
Cda Medical, PLLC is a Community Health Worker organization in Staten Island, NY (NPI 1245199389).
Provider details
- NPI number
- 1245199389
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Juana Slack, Medical Billing Specialist(480) 646-9086
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
774 Manor Rd
Suite 204
Staten Island, NY 10314
Phone: (877) 358-8648
Fax: (877) 877-6875
Street-level locationGet directions
Mailing address
4343 East Outlier Blv.
Phoenix, AZ 85008-6507
Other names (DBA / former)
- Doing business as
- Passport Health
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
Frequently asked questions
- What is Cda Medical, PLLC's NPI number?
- Cda Medical, PLLC's National Provider Identifier (NPI) is 1245199389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cda Medical, PLLC?
- Cda Medical, PLLC is classified in the NPPES registry as Community Health Worker (Other Service Providers).
- Where is Cda Medical, PLLC located?
- Cda Medical, PLLC's practice location on file with NPPES is 774 Manor Rd, Staten Island, NY 10314.
- What is Cda Medical, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Cda Medical, PLLC is (877) 358-8648.
- Who is the authorized official for Cda Medical, PLLC?
- The authorized official listed on Cda Medical, PLLC's NPPES record is Juana Slack, Medical Billing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cda Medical, PLLC's NPI active?
- Yes — Cda Medical, PLLC's NPI (1245199389) is active in the NPPES registry as of the last update on 2026-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.