NASPAC NJ PLLC
NPI 1629648449
Anesthesiology - Pain Medicine in Bala Cynwyd, PA

NPI Status: Active since June 25, 2021

Contact Information

100 PRESIDENTIAL BLVD STE 300
BALA CYNWYD, PA
ZIP 19004
Phone: (484) 436-2123

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • CLIA Number: 39D2241605
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-29-2025

About NASPAC NJ PLLC

This page provides the complete NPI Profile along with additional information for Naspac Nj Pllc, a provider established in Bala Cynwyd, Pennsylvania operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1629648449 assigned on June 2021. The practitioner's primary taxonomy code is 207LP2900X. 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 Renee Bogdol (Revenue Cycle Director)

NPI
1629648449
Provider Name
NASPAC NJ PLLC
Entity Type
Organization
Location Address
100 PRESIDENTIAL BLVD STE 300 BALA CYNWYD, PA 19004
Location Phone
(484) 436-2123
Mailing Address
100 PRESIDENTIAL BLVD LBBY G1 BALA CYNWYD, PA 19004
Mailing Phone
(484) 436-2123
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2021
Last Update Date
09-22-2023
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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

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

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

RENEE BOGDOL

Authorized Official Title
REVENUE CYCLE DIRECTOR
Authorized Official Phone
(609) 845-3988

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
39D2241605
Facility Type
Physician Office
Certificate Effective Date
October 30, 2023
Certificate Expiration Date
October 29, 2025
Laboratory Director
DR. SHERRY JOSE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Naspac Nj Pllc 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.
1629648449
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26491241648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 1 + 2 + 4 + 1 + 6 + 4 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1629648449 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629648449, enumerated in the NPI registry as an "organization" on June 25, 2021

The provider is located at 100 Presidential Blvd Ste 300 Bala Cynwyd, Pa 19004 and the phone number is (484) 436-2123

This medical organization specializes in Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine

The provider's CLIA number is 39D2241605 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 June 25, 2021. 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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