IVY LEAGUE PAIN MANAGEMENT CENTER
NPI 1669870689
Anesthesiology - Pain Medicine in Boonton, NJ
NPI Status: Active since December 08, 2014
Contact Information
9 CRESTFIELD RD
BOONTON, NJ
ZIP 07005
Phone: (908) 255-6200
Fax: (973) 794-4261
- Organization
- Anesthesiology
- Pain Medicine
About IVY LEAGUE PAIN MANAGEMENT CENTER
This page provides the complete NPI Profile along with additional information for Ivy League Pain Management Center, a provider established in Boonton, New Jersey operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1669870689 assigned on December 2014. The practitioner's primary taxonomy code is 207LP2900X with license number 25MA08542000 (NJ). The provider is registered as an organization and their NPI record was last updated 7 years ago. Ivy League Pain Management Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Ivy League Pain Management Center. The authorized official of this NPI record is Dr. Jorge G. Mendez Md (President)
- NPI
- 1669870689
- Provider Legal Name
- JORGE G. MENDEZ,MD. LLC
- Other Organization Name
- IVY LEAGUE PAIN MANAGEMENT CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9 CRESTFIELD RD BOONTON, NJ 07005
- Location Phone
- (908) 255-6200
- Location Fax
- (973) 794-4261
- Mailing Address
- 9 CRESTFIELD RD BOONTON, NJ 07005
- Mailing Phone
- (908) 255-6200
- Mailing Fax
- (973) 794-4261
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-08-2014
- Last Update Date
- 03-13-2019
- 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
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA08542000
- License State
- NJ
- 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) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 25MA08542000 (NJ) |
| 2 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
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.
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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 | 6 | 9 | 8 | 7 | 0 | 6 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 7 | 0 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 7 + 0 + 6 + 1 + 6 + 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 = 9 | 9 | ||||||||
The NPI number 1669870689 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356463988 | DR. JORGE G MENDEZ MD Individual | Anesthesiology (Pain Medicine) | 9 CRESTFIELD RD BOONTON, NJ 07005 (908) 255-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669870689, enumerated in the NPI registry as an "organization" on December 08, 2014
The provider is located at 9 Crestfield Rd Boonton, Nj 07005 and the phone number is (908) 255-6200
This medical organization specializes in Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine
This NPI record was last updated on December 08, 2014. 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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