IRONBOUND MEDICAL SERVICES, LLC
NPI 1346407715
Clinic/Center - Urgent Care in Newark, NJ
NPI Status: Active since May 21, 2008
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 31D1059541
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-02-2026
About IRONBOUND MEDICAL SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Ironbound Medical Services, Llc, a provider established in Newark, New Jersey operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1346407715 assigned on May 2008. The practitioner's primary taxonomy code is 261QU0200X with license number MA053782 (NJ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Robert Anthony Mustillo Md (Owner And Medical Director)
- NPI
- 1346407715
- Provider Name
- IRONBOUND MEDICAL SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 221 CHESTNUT ST NEWARK, NJ 07105
- Location Phone
- (973) 878-3990
- Mailing Address
- 221 CHESTNUT ST NEWARK, NJ 07105
- Mailing Phone
- (973) 878-3990
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2008
- Last Update Date
- 05-21-2008
- Code Navigator
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
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- MA053782
- License State
- NJ
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) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | MA053782 (NJ) |
| 2 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center | MA053782 (NJ) |
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.
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 |
|---|---|---|---|
| E55343 | MEDICARE UPIN (02) | 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
- 31D1059541
- Facility Type
- Physician Office
- Certificate Effective Date
- October 03, 2024
- Certificate Expiration Date
- October 02, 2026
- Laboratory Director
- ROBERT A. MUSTILLO MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ironbound Medical Services, 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. | |||||||||
| 1 | 3 | 4 | 6 | 4 | 0 | 7 | 7 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 8 | 0 | 14 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 8 + 0 + 1 + 4 + 7 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1346407715 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649470295 | DR. ROBERT A MUSTILLO M.D. Individual | Internal Medicine (Sports Medicine) | 221 CHESTNUT ST NEWARK, NJ 07105 (973) 878-3990 |
| 1477003952 | PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC Organization | Occupational Therapist | 221 CHESTNUT ST NEWARK, NJ 07105 (973) 491-6500 |
| 1396291175 | PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC Organization | Physical Therapist | 221 CHESTNUT ST NEWARK, NJ 07105 (973) 491-6500 |
| 1639780240 | JASON COMROE Individual | Physical Therapist | 221 CHESTNUT ST NEWARK, NJ 07105 (973) 491-6500 |
| 1720652977 | NICOLAS DEL VALLE SANCHEZ Individual | Physical Therapist | 221 CHESTNUT ST NEWARK, NJ 07105 (973) 491-6500 |
| 1932829025 | KRISTIAN MELO Individual | Physical Therapist | 221 CHESTNUT ST NEWARK, NJ 07105 (973) 607-4111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346407715, enumerated in the NPI registry as an "organization" on May 21, 2008
The provider is located at 221 Chestnut St Newark, Nj 07105 and the phone number is (973) 878-3990
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
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 31D1059541 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 May 21, 2008. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.