ENGLEWOOD RADIOLOGIC GROUP P A
NPI 1639136914
Radiology - Diagnostic Radiology in Englewood, NJ
NPI Status: Active since April 28, 2006
Contact Information
350 ENGLE ST
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 894-3400
Fax: (201) 894-5244
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 31D2242932
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-14-2025
About ENGLEWOOD RADIOLOGIC GROUP P A
This page provides the complete NPI Profile along with additional information for Englewood Radiologic Group P A, a provider established in Englewood, New Jersey operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1639136914 assigned on April 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 2 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 Mark Shapiro Md (Chief Dept Of Radiology)
- NPI
- 1639136914
- Provider Name
- ENGLEWOOD RADIOLOGIC GROUP P A
- Entity Type
- Organization
- Location Address
- 350 ENGLE ST ENGLEWOOD, NJ 07631
- Location Phone
- (201) 894-3400
- Location Fax
- (201) 894-5244
- Mailing Address
- 350 ENGLE ST ENGLEWOOD, NJ 07631
- Mailing Phone
- (201) 894-3400
- Mailing Fax
- (201) 894-5244
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2006
- Last Update Date
- 01-12-2024
- 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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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.
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 |
|---|---|---|---|
| 2616904 | MEDICAID (05) | 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
- 31D2242932
- Facility Type
- Physician Office
- Certificate Effective Date
- November 15, 2023
- Certificate Expiration Date
- November 14, 2025
- Laboratory Director
- WESLEY THEK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Englewood Radiologic Group P A 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 | 6 | 3 | 9 | 1 | 3 | 6 | 9 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 3 | 12 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 3 + 1 + 2 + 9 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1639136914 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1083612881 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER Organization | General Acute Care Hospital | 350 ENGLE ST ENGLEWOOD, NJ 07631 (201) 894-3000 |
| 1861487894 | DR. FAITH RENEE GOLDMAN M.D. Individual | Surgery | 350 ENGLE ST ENGLEWOOD HOSPITAL AND MEDICAL CENTER, BREAST SERVICES ENGLEWOOD, NJ 07631 (201) 894-3893 |
| 1831170414 | MARINA AYZENBERG GUTWEIN MD Individual | Radiology (Diagnostic Radiology) | 350 ENGLE ST ENGLEWOOD, NJ 07631 (201) 894-3480 |
| 1578541942 | ARYEH SHANDER MD Individual | Anesthesiology | 350 ENGLE ST ENGLEWOOD, NJ 07631 (201) 894-3322 |
| 1932187085 | VIKTOR BALTAYTIS MD Individual | Anesthesiology | 350 ENGLE ST ENGLEWOOD, NJ 07631 (201) 894-3322 |
| 1104804251 | PAYYANADAN CHITHRAN MD Individual | Anesthesiology | 350 ENGLE ST ENGLEWOOD, NJ 07631 (201) 894-3322 |
| 1528046679 | SHIK KEI CHUK MD Individual | Anesthesiology | 350 ENGLE ST ENGLEWOOD, NJ 07631 (201) 871-6073 |
| 1336128487 | LESLIE BOROW MD Individual | Anesthesiology | 350 ENGLE ST ENGLEWOOD, NJ 07631 (201) 894-3322 |
| 1679541569 | ROLYCITO A CHAN MD Individual | Anesthesiology | 350 ENGLE ST 2ND FLOOR, ANESTHESIA DEPT ENGLEWOOD, NJ 07631 (201) 894-3322 |
| 1932163342 | DR. JENNIFER IBRAHIM M.D. Individual | Medical Genetics (Clinical Genetics (M.D.)) | 350 ENGLE ST 2 E ENGLEWOOD, NJ 07631 (201) 227-5526 |
| 1992769947 | S RAMAIAH GANTI MD Individual | Radiology (Diagnostic Radiology) | 350 ENGLE ST ENGLEWOOD HOSPITAL & MEDICAL CENTER ENGLEWOOD, NJ 07631 (201) 894-3400 |
| 1356305304 | SHARI NAIDRICH MD Individual | Radiology (Diagnostic Radiology) | 350 ENGLE ST ENGLEWOOD HOSP & MED CTR ENGLEWOOD, NJ 07631 (201) 894-3400 |
| 1447215710 | MARK L SHAPIRO MD Individual | Radiology (Diagnostic Radiology) | 350 ENGLE ST ENGLEWOOD HOSPITAL & MEDICAL CENTER ENGLEWOOD, NJ 07631 (201) 894-3400 |
| 1104881374 | MARC HERMAN MD Individual | Radiology (Diagnostic Radiology) | 350 ENGLE ST ENGLEWOOD HOSP & MED CTR ENGLEWOOD, NJ 07631 (201) 894-3440 |
| 1144285057 | MINDY A GOLDFISCHER MD Individual | Radiology (Diagnostic Radiology) | 350 ENGLE ST ENGLEWOOD HOSPITAL & MED CTR ENGLEWOOD, NJ 07631 (201) 894-3400 |
| 1538126537 | DR. SUMEDHA V KULKARNI M.D. Individual | Anesthesiology | 350 ENGLE ST ENGLEWOOD, NJ 07631 (201) 894-3238 |
| 1720045008 | DWARKANATH SHEMBDE MD Individual | Radiology (Diagnostic Radiology) | 350 ENGLE ST ENGLEWOOD HOSP MED CTR ENGLEWOOD, NJ 07631 (201) 894-3400 |
| 1538126818 | NINA MATTANA MD Individual | Radiology (Diagnostic Radiology) | 350 ENGLE ST ENGLEWOOD HOSP & MED CTR ENGLEWOOD, NJ 07631 (201) 894-3400 |
| 1144288507 | STEFANIE JACOBS MD Individual | Radiology (Diagnostic Radiology) | 350 ENGLE ST ENGLEWOOD HOSP & MED CTR ENGLEWOOD, NJ 07631 (201) 894-3400 |
| 1033168232 | JEFFREY SMOK MD Individual | Anesthesiology | 350 ENGLE ST ENGLEWOOD, NJ 07631 (201) 894-3322 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639136914, enumerated in the NPI registry as an "organization" on April 28, 2006
The provider is located at 350 Engle St Englewood, Nj 07631 and the phone number is (201) 894-3400
This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
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 31D2242932 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 April 28, 2006. 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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