JACEK GRZYBOWSKI MD
NPI 1225038508
Pediatrics in Linden, NJ
NPI Status: Active since July 28, 2005
Contact Information
812 N WOOD AVE
SUITE 201
LINDEN, NJ
ZIP 07036
Phone: (908) 587-9611
Fax: (908) 587-9622
- Individual
- Male
- Pediatrics
- Accepts Insurance
- CLIA Number: 31D2176040
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-05-2025
About JACEK GRZYBOWSKI
This page provides the complete NPI Profile along with additional information for Jacek Grzybowski, a pediatrician established in Linden, New Jersey with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1225038508 assigned on July 2005. The practitioner's primary taxonomy code is 208000000X with license number 25MA07813200 (NJ). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1225038508
- Provider Name
- JACEK GRZYBOWSKI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 812 N WOOD AVE SUITE 201 LINDEN, NJ 07036
- Location Phone
- (908) 587-9611
- Location Fax
- (908) 587-9622
- Mailing Address
- 812 N WOOD AVE SUITE 201 LINDEN, NJ 07036
- Mailing Phone
- (908) 587-9611
- Mailing Fax
- (908) 587-9622
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-28-2005
- Last Update Date
- 11-16-2007
- Code Navigator
A pediatrician like Jacek Grzybowski is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA07813200
- License State
- NJ
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
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.
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 |
|---|---|---|---|
| I27591 | MEDICARE UPIN (02) | ||
| 0059862 | MEDICAID (05) | NJ |
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
- 31D2176040
- Facility Type
- Physician Office
- Certificate Effective Date
- December 06, 2023
- Certificate Expiration Date
- December 05, 2025
- Laboratory Director
- JACEK GRZYBOWSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jacek Grzybowski 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 | 2 | 2 | 5 | 0 | 3 | 8 | 5 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 0 | 3 | 16 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 0 + 3 + 1 + 6 + 5 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1225038508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912090168 | WALTER JOHN BOROWSKI M.D. Individual | Internal Medicine | 812 N WOOD AVE LINDEN, NJ 07036 (908) 486-3366 |
| 1740322536 | DR. VASUDEV NARAINDAS MAKHIJA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 812 N WOOD AVE SUITE 102 LINDEN, NJ 07036 (908) 486-6666 |
| 1306976428 | JACEK GRZYBOWSKI MD LLC Organization | Pediatrics | 812 N WOOD AVE SUITE 201 LINDEN, NJ 07036 (908) 587-9611 |
| 1053687616 | UNIQUE LADIES HEALTHCARE Organization | Specialist | 812 N WOOD AVE SUITE 201 LINDEN, NJ 07036 (908) 925-2111 |
| 1699038398 | RAMESH C VARMA Organization | Obstetrics & Gynecology | 812 N WOOD AVE SUITE 201 LINDEN, NJ 07036 (908) 925-2111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225038508, enumerated in the NPI registry as an "individual" on July 28, 2005
The provider is located at 812 N Wood Ave Suite 201 Linden, Nj 07036 and the phone number is (908) 587-9611
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 31D2176040 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 July 28, 2005. 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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