Cda Medical

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

CDA MEDICAL

Doing business as

CDA Medical-Passport Health

Practice address

7 W Broad Street
Ste 201
Mount Vernon, NY 10552

Phone

(877) 358-8648

Fax

(877) 877-6875

NPI assigned

Mar 10, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria Sowards, BSN, RN

Title

Director Clinical Compliance

Phone

(480) 646-9028

Specialties & licenses 1

Addresses

Other names 1

• CDA Medical-Passport Health Doing business as

Tax ID family

Cda Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cda Medical

  dba CDA Medical - Passport Health

  • Public Health & General Preventive Medicine Physician
  • New York, NY
  • NPI 1437850054
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1851092480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N 44 STREET",
            "address_2": "STE 210W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008",
            "telephone_number": "480-646-9028",
            "fax_number": "877-877-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W BROAD STREET",
            "address_2": "STE 201",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10552",
            "telephone_number": "877-358-8648",
            "fax_number": "877-877-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "SOWARDS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR CLINICAL COMPLIANCE",
        "authorized_official_telephone_number": "480-646-9028",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDA Medical-Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vinicius Dalessandro Carvalho
• Akilah Nahriann Cassells-Thomas
• Helena Castello, LPN
• Catholic Managed LTC Inc
• Maila Catolico, RN
• Cda Medical, PLLC
• Zoila M Cedacero, DENTAL HYGIENIST
• Joanne Challenger
• Teanika Chamberlain
• Chambers Family Health NP P.C

• Public Health & General Preventive Medicine Physician in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.