BONA DEA GYNECOLOGY, LLC.
NPI 1316251119
Obstetrics & Gynecology - Gynecology in Oradell, NJ

NPI Status: Active since August 04, 2010

Contact Information

481 KINDERKAMACK RD
ORADELL, NJ
ZIP 07649
Phone: (551) 278-5898
Fax: (551) 236-1771

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  • Organization
  • Obstetrics & Gynecology
  • Gynecology
  • CLIA Number: 31D2267630
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-28-2026

About BONA DEA GYNECOLOGY, LLC.

This page provides the complete NPI Profile along with additional information for Bona Dea Gynecology, Llc., a women's health care provider established in Oradell, New Jersey operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1316251119 assigned on August 2010. The practitioner's primary taxonomy code is 207VG0400X with license number 25MB08210000 (NJ). The provider is registered as an organization and their NPI record was last updated 3 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 Tracy B Verrico Do (Physician/owner)

NPI
1316251119
Provider Name
BONA DEA GYNECOLOGY, LLC.
Entity Type
Organization
Location Address
481 KINDERKAMACK RD ORADELL, NJ 07649
Location Phone
(551) 278-5898
Location Fax
(551) 236-1771
Mailing Address
481 KINDERKAMACK RD ORADELL, NJ 07649
Mailing Phone
(551) 278-5898
Mailing Fax
(551) 236-1771
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2010
Last Update Date
09-08-2022
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Women's health care providers like Bona Dea Gynecology, Llc. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Secondary Locations

  • 1086 Teaneck Rd Suite 4F1
    Teaneck, NJ 07666
    (201) 530-5475

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

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
License No.
25MB08210000
License State
NJ
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

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.

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

TRACY B VERRICO DO

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(551) 278-5898

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
31D2267630
Facility Type
Physician Office
Certificate Effective Date
August 29, 2024
Certificate Expiration Date
August 28, 2026
Laboratory Director
TRACY VERRICO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bona Dea Gynecology, Llc. 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.
1316251119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
232645212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 4 + 5 + 2 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1316251119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609108869 DONALD R DEBLOCK MSN, RN-BC, ANP-BC
Individual
Nurse Practitioner (Adult Health)481 KINDERKAMACK RD
ORADELL, NJ 07649
(201) 599-0101
1174908354CEDAR MEDICAL LLC
Organization
Internal Medicine481 KINDERKAMACK RD
ORADELL, NJ 07649
(201) 599-0101
1205898830DR. TRACY B VERRICO D.O.
Individual
Obstetrics & Gynecology (Gynecology)481 KINDERKAMACK RD
ORADELL, NJ 07649
(551) 278-5898
1649905837 LAUREN IMBRIANI PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)481 KINDERKAMACK RD
ORADELL, NJ 07649
(201) 599-0101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316251119, enumerated in the NPI registry as an "organization" on August 04, 2010

The provider is located at 481 Kinderkamack Rd Oradell, Nj 07649 and the phone number is (551) 278-5898

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207VG0400X with a focus in Gynecology

The provider's CLIA number is 31D2267630 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 August 04, 2010. 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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