MENDHAM MEDICAL PRACTICE LLC
NPI 1265917926
Internal Medicine in Mendham, NJ
NPI Status: Active since September 28, 2018
Contact Information
19 E MAIN ST STE 1
MENDHAM, NJ
ZIP 07945
Phone: (973) 543-6505
Fax: (973) 543-2967
- Organization
- Internal Medicine
- CLIA Number: 31D0116602
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-17-2025
About MENDHAM MEDICAL PRACTICE LLC
This page provides the complete NPI Profile along with additional information for Mendham Medical Practice Llc, an internist established in Mendham, New Jersey operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1265917926 assigned on September 2018. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Gregg G Marella Md (Sole Member)
- NPI
- 1265917926
- Provider Name
- MENDHAM MEDICAL PRACTICE LLC
- Entity Type
- Organization
- Location Address
- 19 E MAIN ST STE 1 MENDHAM, NJ 07945
- Location Phone
- (973) 543-6505
- Location Fax
- (973) 543-2967
- Mailing Address
- 19 E MAIN ST STE 1 MENDHAM, NJ 07945
- Mailing Phone
- (973) 543-6505
- Mailing Fax
- (973) 543-2967
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-28-2018
- Last Update Date
- 11-14-2018
- Code Navigator
An internist like Mendham Medical Practice Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 31D0116602
- Facility Type
- Physician Office
- Certificate Effective Date
- August 18, 2023
- Certificate Expiration Date
- August 17, 2025
- Laboratory Director
- GREGG G. MARELLA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mendham Medical Practice Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 6 | 5 | 9 | 1 | 7 | 9 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 18 | 1 | 14 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 8 + 1 + 1 + 4 + 9 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1265917926 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174091441 | MRS. ALYSSA CLAIRE YOUNGMAN APN Individual | Nurse Practitioner (Adult Health) | 19 E MAIN ST STE 1 MENDHAM, NJ 07945 (973) 543-6505 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265917926, enumerated in the NPI registry as an "organization" on September 28, 2018
The provider is located at 19 E Main St Ste 1 Mendham, Nj 07945 and the phone number is (973) 543-6505
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 31D0116602 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on September 28, 2018. 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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