HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.
NPI 1568165165
Clinic/Center - Radiology in Clark, NJ

NPI Status: Active since March 23, 2023

Contact Information

1180 RARITAN RD
CLARK, NJ
ZIP 07066
Phone: (732) 970-0420

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  • Organization
  • Clinic/Center
  • Radiology
  • CLIA Number: 31D2294942
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-03-2025

About HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Hackensack Meridian Outpatient Services, Inc., a provider established in Clark, New Jersey operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1568165165 assigned on March 2023. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Richard Hand (Svp Finance)

NPI
1568165165
Provider Name
HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.
Entity Type
Organization
Location Address
1180 RARITAN RD CLARK, NJ 07066
Location Phone
(732) 970-0420
Mailing Address
60 2ND ST FL 4 HACKENSACK, NJ 07601
Mailing Phone
(201) 468-4134
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2023
Last Update Date
03-23-2023
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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

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

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

RICHARD HAND

Authorized Official Title
SVP FINANCE
Authorized Official Phone
(732) 481-8529

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
31D2294942
Facility Type
Physician Office
Certificate Effective Date
December 04, 2023
Certificate Expiration Date
December 03, 2025
Laboratory Director
DARSHINI SHAH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hackensack Meridian Outpatient Services, Inc. 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.

Reviews for HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.

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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.
1568165165
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251282610112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 2 + 6 + 1 + 0 + 1 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1568165165 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407220932 HETAL N VASOYA PT, DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1013211804 KATHERINE L HEALY PT, DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1518513365 MICHELLE RESTREPO DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1245880103 TERESA M DREW DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1578104543 KRISSTOFFER C ABARABAR
Individual
Physical Therapist (Ergonomics)1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1558451930 ROSAANNA PASSUCCI PT, MPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1366513863MS. MARIA HESTON PT, MSPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1265630503 LORI A CHESNOCK PT, MS
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1821567033 TOMASZ WRONSKI PT, DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1174971709 ALFREDO RUIZ JR. PT, DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1073144366 DEVIKA KRISHNAMOORTHY DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1992749931 LAWRENCE J BOCK PT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1902414949 VALERIE ANN CASSELL
Individual
Physical Medicine & Rehabilitation1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1811078488 DAVID A WRIGHT JR. PT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1790816056MS. CAROLINE ANN JOLLY P.T.
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1346371515MISS SANDRA MARIE PIETREWICZ P.T.
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1194247320 JUSTIN E OTT DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1043687031 BRANDON FREDHOFF PT DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1093313710DR. TIMOTHY RICHARD SALKOWSKI PT, DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626
1093756397MR. LANCE ANTHONY KNAUB DPT
Individual
Physical Therapist1180 RARITAN RD
CLARK, NJ 07066
(908) 276-2626

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568165165, enumerated in the NPI registry as an "organization" on March 23, 2023

The provider is located at 1180 Raritan Rd Clark, Nj 07066 and the phone number is (732) 970-0420

This medical organization specializes in Clinic/Center with taxonomy code 261QR0200X with a focus in Radiology

The provider's CLIA number is 31D2294942 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 March 23, 2023. 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.