MIDATLANTIC HOME INFUSION
NPI 1295703403
Pharmacy in Fairfield, NJ

NPI Status: Active since March 14, 2006

Contact Information

353 US HIGHWAY 46 # C
FAIRFIELD, NJ
ZIP 07004
Phone: (800) 466-3487
Fax: (973) 882-5090

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  • Organization
  • Pharmacy
  • CLIA Number: 31D2036041
  • CLIA Cert. Type: Blood Bank
  • CLIA Exp. Date: 10-02-2025

About MIDATLANTIC HOME INFUSION

This page provides the complete NPI Profile along with additional information for Midatlantic Home Infusion, a provider established in Fairfield, New Jersey operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1295703403 assigned on March 2006. The practitioner's primary taxonomy code is 333600000X with license number RS00659000 (NJ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Midatlantic Home Infusion. The authorized official of this NPI record is Donald Carlberg (Ceo)

NPI
1295703403
Provider Legal Name
AMERICAN INFUSION MIDATLANTIC INC
Other Organization Name
MIDATLANTIC HOME INFUSION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
353 US HIGHWAY 46 # C FAIRFIELD, NJ 07004
Location Phone
(800) 466-3487
Location Fax
(973) 882-5090
Mailing Address
353 US HIGHWAY 46 # C FAIRFIELD, NJ 07004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2006
Last Update Date
08-22-2020
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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

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
RS00659000
License State
NJ
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

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

DONALD CARLBERG

Authorized Official Title
CEO
Authorized Official Phone
(800) 466-3487

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
3193923OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER

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
31D2036041
Facility Type
Blood Bank
Certificate Effective Date
October 03, 2023
Certificate Expiration Date
October 02, 2025
Laboratory Director
SHRADDHA P. BABARIYA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Midatlantic Home Infusion 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.
1295703403
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185140640
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 4 + 0 + 6 + 4 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1295703403 is valid because the calculated check digit 3 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 1295703403, enumerated in the NPI registry as an "organization" on March 14, 2006

The provider is located at 353 Us Highway 46 # C Fairfield, Nj 07004 and the phone number is (800) 466-3487

This medical organization specializes in Pharmacy with taxonomy code 333600000X

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.

The provider's CLIA number is 31D2036041 for a "blood bank" 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 March 14, 2006. 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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