CCG Medical Group LLC
A Medicare group practice based in Westfield, NJ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0648640680), with 31 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0648640680
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NJ
- Enrollments
- 2
- Group size
- 24 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230106002797 | NJ | Part B Supplier - Clinic/Group Practice | 1245954254 |
| O20241210004141 | NJ | Part B Supplier - Ambulatory Surgical Center | 1720871635 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
CCG Medical Group LLC
- Specialist
- Springfield, NJ
- NPI 1245954254
-
CCG Medical Group LLC
- Ambulatory Surgical Clinic/Center
- Westfield, NJ
- NPI 1720871635
Practice locations
- Westfield, NJ2
- Hoboken, NJ1
- Springfield, NJ1
- Shrewsbury, NJ1
- Morristown, NJ1
- Clifton, NJ1
- Denville, NJ1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 77.56 of 100
- Quality
- 40.5
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 73.88
Clinicians 31
Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (24).
-
Michael D Addis, MD
- Vascular Surgery Physician
- Springfield, NJ
- NPI 1275525743
-
John Paul Anagnostakos, MD
- Vascular Surgery Physician
- Clifton, NJ
- NPI 1255794269
-
Cindy Ann Bowman, PA-C
- Physician Assistant
- Clifton, NJ
- NPI 1245460187
-
Bruce J. Brener, MD
- Vascular Surgery Physician
- Livingston, NJ
- NPI 1053317636
-
Andrew Cha, D.O.
- Vascular Surgery Physician
- Westfield, NJ
- NPI 1568780500
-
Elizabeth Coll, NP
- Nurse Practitioner
- Clifton, NJ
- NPI 1841293024
-
Salvador A. Cuadra, MD
- Vascular Surgery Physician
- Westfield, NJ
- NPI 1851310015
-
Darlene Lynn Dobkowski, PA-C
- Physician Assistant
- Teaneck, NJ
- NPI 1891753851
-
Daniel Fremed, M.D.
- Vascular Surgery Physician
- Springfield, NJ
- NPI 1548536436
-
Raymond J Holmes, MD
- Vascular Surgery Physician
- Clifton, NJ
- NPI 1699771220
-
Tricia A Johnson, R-PAC
- Surgical Physician Assistant
- Morristown, NJ
- NPI 1003819384
-
Jonathan Lee, MD
- Vascular Surgery Physician
- Springfield, NJ
- NPI 1538664933
-
Kristen Alexandra Lee, DO
- Vascular Surgery Physician
- Morristown, NJ
- NPI 1295362754
-
Jonathan A Levison, M.D.
- Vascular Surgery Physician
- Clifton, NJ
- NPI 1912900416
-
Victoria Lora
- Physician Assistant
- Springfield, NJ
- NPI 1104695006
-
Elena Macias, PA
- Physician Assistant
- Westfield, NJ
- NPI 1376116152
-
Deirdre A McGagh, R-PAC
- Surgical Physician Assistant
- Belleville, NJ
- NPI 1407957889
-
Michael Ombrellino, M.D.
- Vascular Surgery Physician
- Morristown, NJ
- NPI 1114997426
-
Bijal Parmar, PA
- Physician Assistant
- Arlington Heights, IL
- NPI 1982123469
-
Michael A Pontoriero, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Clifton, NJ
- NPI 1275536765
-
Neil Harold Poulsen
- Vascular Surgery Physician
- Rockaway, NJ
- NPI 1841610821
-
Combiz Rezayat, M.D.
- Vascular Surgery Physician
- Clifton, NJ
- NPI 1891954947
-
Clifford M Sales, MD
- Vascular Surgery Physician
- Westfield, NJ
- NPI 1053314005
-
Stephanie B. Seara, PHYSICIAN ASSISTANT
- Physician Assistant
- Garfield, NJ
- NPI 1942841440
-
Renae Elizabeth Sharkey
- Nurse Practitioner
- Florham Park, NJ
- NPI 1750163275
-
Emily Elizabeth Simmons, APN-C
- Adult Health Nurse Practitioner
- Westfield, NJ
- NPI 1003123720
-
Roger Stein, PA
- Physician Assistant
- Westfield, NJ
- NPI 1932244910
-
Cindy Sturt, MD
- Vascular Surgery Physician
- Livingston, NJ
- NPI 1073838173
-
Scott Adam Sundick, MD
- Vascular Surgery Physician
- Westfield, NJ
- NPI 1649449687
-
Kimberly Sweet
- Physician Assistant
- Westfield, NJ
- NPI 1922008184
-
Kunal Vani
- Vascular Surgery Physician
- Rockaway, NJ
- NPI 1053729988
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.