PRIME DIAGNOSTICS, P.C.
NPI 1588114060
Specialist in Palisades Park, NJ

NPI Status: Active since October 10, 2016

Contact Information

118 BROAD AVE
N9
PALISADES PARK, NJ
ZIP 07650
Phone: (201) 482-0439

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  • Organization
  • Specialist

About PRIME DIAGNOSTICS, P.C.

This page provides the complete NPI Profile along with additional information for Prime Diagnostics, P.c., a provider established in Palisades Park, New Jersey operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1588114060 assigned on October 2016. The practitioner's primary taxonomy code is 174400000X with license number 25MA07699600 (NJ). The provider is registered as an organization and their NPI record was last updated 9 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 Dr. Chang S Park M.d. (Owner)

NPI
1588114060
Provider Name
PRIME DIAGNOSTICS, P.C.
Entity Type
Organization
Location Address
118 BROAD AVE N9 PALISADES PARK, NJ 07650
Location Phone
(201) 482-0439
Mailing Address
118 BROAD AVE N9 PALISADES PARK, NJ 07650
Mailing Phone
(201) 482-0439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2016
Last Update Date
10-10-2016
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
25MA07699600
License State
NJ
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

DR. CHANG S PARK M.D.

Authorized Official Title
OWNER
Authorized Official Phone

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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.
1588114060
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168218012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 2 + 1 + 8 + 0 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1588114060 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134350648E-PLANT DENTAL, P.C.
Organization
Dentist (General Practice)118 BROAD AVE #N-10
PALISADES PARK, NJ 07650
(201) 943-2828
1033550017 JEANNIE S JOO
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)118 BROAD AVE SUITE N4
PALISADES PARK, NJ 07650
(201) 945-7222
16796716067 ALEFTV, INC.
Organization
Pharmacy (Community/Retail Pharmacy)118 BROAD AVE SUITE N4
PALISADES PARK, NJ 07650
(201) 945-7222
1487067724PRIME CHIROPRACTIC PC
Organization
Chiropractor118 BROAD AVE SUITE N10
PALISADES PARK, NJ 07650
(201) 313-1122
1558774778PRIME ACUPUNCTURE CARE PC
Organization
Acupuncturist118 BROAD AVE SUITE N10
PALISADES PARK, NJ 07650
(201) 313-1122
1598168882PRIME DIAGNOSTICS PC
Organization
Legal Medicine118 BROAD AVE UNIT N9
PALISADES PARK, NJ 07650
(201) 446-6701
1730631466 HYEYOUNG PARK
Individual
Nurse Practitioner (Family)118 BROAD AVE STE N10
PALISADES PARK, NJ 07650
(201) 313-1122
1437579505PRIME PAIN CLINIC P.C.
Organization
Physical Therapist118 BROAD AVE STE N10
PALISADES PARK, NJ 07650
(201) 313-1122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588114060, enumerated in the NPI registry as an "organization" on October 10, 2016

The provider is located at 118 Broad Ave N9 Palisades Park, Nj 07650 and the phone number is (201) 482-0439

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on October 10, 2016. 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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