AVICENNA MEDICAL ARTS, PLLC
NPI 1639408461
Pain Medicine - Interventional Pain Medicine in Manalapan, NJ
NPI Status: Active since December 07, 2009
Contact Information
660 TENNENT RD
SUITE 104
MANALAPAN, NJ
ZIP 07726
Phone: (646) 522-3664
Fax: (732) 831-6171
- Organization
- Pain Medicine
- Interventional Pain Medicine
About AVICENNA MEDICAL ARTS, PLLC
This page provides the complete NPI Profile along with additional information for Avicenna Medical Arts, Pllc, a provider established in Manalapan, New Jersey operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1639408461 assigned on December 2009. The practitioner's primary taxonomy code is 208VP0014X with license number 25MA08792700 (NJ). The provider is registered as an organization and their NPI record was last updated 11 years ago. Avicenna Medical Arts, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Alexander Veder M.d (Owner)
- NPI
- 1639408461
- Provider Name
- AVICENNA MEDICAL ARTS, PLLC
- Entity Type
- Organization
- Location Address
- 660 TENNENT RD SUITE 104 MANALAPAN, NJ 07726
- Location Phone
- (646) 522-3664
- Location Fax
- (732) 831-6171
- Mailing Address
- PO BOX 302 MANALAPAN, NJ 07726
- Mailing Phone
- (646) 522-3664
- Mailing Fax
- (732) 831-6171
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-07-2009
- Last Update Date
- 03-03-2014
- 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
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA08792700
- License State
- NJ
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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 | 202C00000X | Allopathic & Osteopathic Physicians | Independent Medical Examiner | 25MA08792700 (NJ) |
| 2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 25MA08792700 (NJ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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 |
|---|---|---|---|
| A100022929 | MEDICARE PIN (08) | NY |
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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 | 4 | 0 | 8 | 4 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 8 | 0 | 16 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 8 + 0 + 1 + 6 + 4 + 1 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1639408461 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902910003 | KAREN FLORENCE DELGADO PT Individual | Physical Therapist | 660 TENNENT RD SUITE 107 MANALAPAN, NJ 07726 (732) 617-6237 |
| 1619214004 | AMBIENT REHABILITATION Organization | Clinic/Center (Physical Therapy) | 660 TENNENT RD SUITE 107 MANALAPAN, NJ 07726 (732) 617-6237 |
| 1477890150 | DEVITA ALLEN Individual | Counselor | 660 TENNENT RD SUITE 104 MANALAPAN, NJ 07726 (609) 613-0441 |
| 1225494305 | PROFESSIONAL COUNSELING & DEVELOPMENT CENTER, LLC Organization | Community/Behavioral Health | 660 TENNENT RD SUITE 104 MANALAPAN, NJ 07726 (609) 297-7052 |
| 1770074460 | PATHWAY COUNSELING CENTER LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 660 TENNENT RD MANALAPAN, NJ 07726 (908) 379-8132 |
| 1821586058 | MRS. MAUREEN L RYAN LCSW Individual | Social Worker (Clinical) | 660 TENNENT RD MANALAPAN, NJ 07726 (732) 351-0411 |
| 1659141687 | ALYSON NICOLE BERNACCHI LAC Individual | Counselor (Mental Health) | 660 TENNENT RD MANALAPAN, NJ 07726 (732) 656-8398 |
| 1033942248 | BRITTNEY ANN KIRK MA, LAC, NCC Individual | Counselor (Mental Health) | 660 TENNENT RD MANALAPAN, NJ 07726 (732) 851-4808 |
| 1962235143 | MADISON SAIGE BAEZ MA, LAC, NCC Individual | Counselor (Mental Health) | 660 TENNENT RD MANALAPAN, NJ 07726 (732) 851-4808 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639408461, enumerated in the NPI registry as an "organization" on December 07, 2009
The provider is located at 660 Tennent Rd Suite 104 Manalapan, Nj 07726 and the phone number is (646) 522-3664
This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine
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.
This NPI record was last updated on December 07, 2009. 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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