V.D.BODAS, M.D.
NPI 1174993752
Clinic/Center - Medical Specialty in Newark, NJ

NPI Status: Active since September 25, 2015

Contact Information

268 M. L. K. BLVD.
BLDG. B 6TH FLOOR
NEWARK, NJ
ZIP 07102
Phone: (973) 623-0606
Fax: (973) 623-0626

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  • Organization
  • Clinic/Center
  • Medical Specialty

About V.D.BODAS, M.D.

This page provides the complete NPI Profile along with additional information for V.d.bodas, M.d., a provider established in Newark, New Jersey operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1174993752 assigned on September 2015. The practitioner's primary taxonomy code is 261QM2500X with license number 25MA03353800 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Vinayak D Bodas M.d. (Dr.)

NPI
1174993752
Provider Name
V.D.BODAS, M.D.
Entity Type
Organization
Location Address
268 M. L. K. BLVD. BLDG. B 6TH FLOOR NEWARK, NJ 07102
Location Phone
(973) 623-0606
Location Fax
(973) 623-0626
Mailing Address
268 M.L.K. BLVD. BUILDING B 6TH FLOOR NEWARK, NJ 07102
Mailing Phone
(973) 623-0606
Mailing Fax
(973) 623-0626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2015
Last Update Date
09-25-2015
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
25MA03353800
License State
NJ
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. VINAYAK D BODAS M.D.

Authorized Official Title
DR.
Authorized Official Phone
(973) 623-0606

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1257404MEDICAID (05)NJ 

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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.
1174993752
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441896710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 8 + 9 + 6 + 7 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1174993752 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174993752, enumerated in the NPI registry as an "organization" on September 25, 2015

The provider is located at 268 M. L. K. Blvd. Bldg. B 6th Floor Newark, Nj 07102 and the phone number is (973) 623-0606

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 25, 2015. 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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