STAFFORD MEDICAL PA
NPI 1093052102
Non-Pharmacy Dispensing Site in Manahawkin, NJ
NPI Status: Active since January 09, 2013
Contact Information
1364 ROUTE 72 W
2
MANAHAWKIN, NJ
ZIP 08050
Phone: (609) 597-3416
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 31D0723140
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-20-2026
About STAFFORD MEDICAL PA
This page provides the complete NPI Profile along with additional information for Stafford Medical Pa, a provider established in Manahawkin, New Jersey operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1093052102 assigned on January 2013. The practitioner's primary taxonomy code is 332900000X with license number 25MA066536 (NJ). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Kenny Heine (Vp Ops)
- NPI
- 1093052102
- Provider Name
- STAFFORD MEDICAL PA
- Entity Type
- Organization
- Location Address
- 1364 ROUTE 72 W 2 MANAHAWKIN, NJ 08050
- Location Phone
- (609) 597-3416
- Mailing Address
- 5626 OBERLIN DR 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-09-2013
- Last Update Date
- 01-09-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- 25MA066536
- License State
- NJ
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D0723140
- Facility Type
- Physician Office
- Certificate Effective Date
- October 21, 2024
- Certificate Expiration Date
- October 20, 2026
- Laboratory Director
- MAHESH TEKRIWAL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Stafford Medical Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 0 | 5 | 2 | 1 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 0 | 5 | 4 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 0 + 5 + 4 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1093052102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780672188 | DR. SAJJAD HUSSAIN MEDICAL DOCTOR Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1364 ROUTE 72 W SUITE 2 MANAHAWKIN, NJ 08050 (609) 597-3616 |
| 1750345237 | DR. TOMMY K NG MD Individual | Internal Medicine (Interventional Cardiology) | 1364 ROUTE 72 W SUITE G2 MANAHAWKIN, NJ 08050 (609) 978-2337 |
| 1780630764 | ASHOKVARDHAN R VELDANDA M.D. Individual | Family Medicine | 1364 ROUTE 72 W MANAHAWKIN, NJ 08050 (609) 597-3416 |
| 1679512891 | JEFFREY M. LIPPER M.D. Individual | Internal Medicine (Pulmonary Disease) | 1364 ROUTE 72 W MANAHAWKIN, NJ 08050 (609) 597-3416 |
| 1912920158 | UNNATI TAILOR D.O. Individual | Family Medicine | 1364 ROUTE 72 W MANAHAWKIN, NJ 08050 (609) 597-3416 |
| 1164674016 | MANAHAWKIN CHIROPRACTIC ASSOCIATES, LLC Organization | Chiropractor | 1364 ROUTE 72 W MANAHAWKIN, NJ 08050 (609) 597-8822 |
| 1417207747 | MRS. HEATHER IRENE HERBST APN,FNP-BC Individual | Nurse Practitioner (Family) | 1364 ROUTE 72 W MANAHAWKIN, NJ 08050 (609) 597-3416 |
| 1588665947 | CAREY PENROD D.O. Individual | Surgery | 1364 ROUTE 72 W SUITE 5 MANAHAWKIN, NJ 08050 (609) 978-0778 |
| 1801224225 | ADVOCARE, LLC Organization | Surgery (Vascular Surgery) | 1364 ROUTE 72 W SUITE 5 MANAHAWKIN, NJ 08050 (609) 978-0778 |
| 1558382457 | STAFFORD MEDICAL, P.A. Organization | Family Medicine | 1364 ROUTE 72 W MANAHAWKIN, NJ 08050 (609) 597-3416 |
| 1336864974 | ANGELINA O'TOOLE Individual | Nurse Practitioner (Gerontology) | 1364 ROUTE 72 W MANAHAWKIN, NJ 08050 (609) 836-6602 |
| 1528042777 | STEPHEN J SKOKAN D.P.M. Individual | Podiatrist | 1364 ROUTE 72 W MANAHAWKIN, NJ 08050 (609) 597-3416 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093052102, enumerated in the NPI registry as an "organization" on January 09, 2013
The provider is located at 1364 Route 72 W 2 Manahawkin, Nj 08050 and the phone number is (609) 597-3416
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
The provider's CLIA number is 31D0723140 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 09, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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