NJ-BROOKLYN MEDICAL ASSOCIATES, LLC
NPI 1316294572
Internal Medicine in Keyport, NJ

NPI Status: Active since August 07, 2012

Contact Information

39 W FRONT ST
KEYPORT, NJ
ZIP 07735
Phone: (732) 264-2224
Fax: (732) 264-4291

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  • Organization
  • Internal Medicine

About NJ-BROOKLYN MEDICAL ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Nj-brooklyn Medical Associates, Llc, an internist established in Keyport, New Jersey operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1316294572 assigned on August 2012. The practitioner's primary taxonomy code is 207R00000X with license number 25MA08719200 (NJ). The provider is registered as an organization and their NPI record was last updated 12 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 Kevin Custis M.d. (Sole Proprietor)

NPI
1316294572
Provider Name
NJ-BROOKLYN MEDICAL ASSOCIATES, LLC
Entity Type
Organization
Location Address
39 W FRONT ST KEYPORT, NJ 07735
Location Phone
(732) 264-2224
Location Fax
(732) 264-4291
Mailing Address
39 WEST FRONT ST. KEYPORT, NJ 07735
Mailing Phone
(732) 264-2224
Mailing Fax
(732) 264-4291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2012
Last Update Date
08-26-2013
Code Navigator

An internist like Nj-brooklyn Medical Associates, 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.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
25MA08719200
License State
NJ
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.

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

KEVIN CUSTIS M.D.

Authorized Official Title
SOLE PROPRIETOR
Authorized Official Phone
(732) 264-2224

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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.
1316294572
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326498514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 4 + 9 + 8 + 5 + 1 + 4 + 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 1316294572 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790821692HEATHPOINT MEDICAL GROUP OF KEYPORT, LLC
Organization
Orthopaedic Surgery39 W FRONT ST
KEYPORT, NJ 07735
(732) 264-2224
1154600302NEUROLOGY ASSOCIATES OF NORTHERN NJ PC
Organization
Specialist39 W FRONT ST
KEYPORT, NJ 07735
(732) 264-2224
1659678910HEALTHPOINT ANESTHESIA ASSOCIATES LLC
Organization
Anesthesiology39 W FRONT ST
KEYPORT, NJ 07735
(201) 804-2800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316294572, enumerated in the NPI registry as an "organization" on August 07, 2012

The provider is located at 39 W Front St Keyport, Nj 07735 and the phone number is (732) 264-2224

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

This NPI record was last updated on August 07, 2012. 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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