PEDIATRIC SPECIALTIES, PA
NPI 1699888065
Neuromusculoskeletal Medicine, Sports Medicine in Hackensack, NJ
NPI Status: Active since August 17, 2006
Contact Information
90 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-4001
Fax: (201) 342-9569
- Organization
- Neuromusculoskeletal Medicine, Sports Me...
- CLIA Number: 31D0111810
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-25-2025
About PEDIATRIC SPECIALTIES, PA
This page provides the complete NPI Profile along with additional information for Pediatric Specialties, Pa, a provider established in Hackensack, New Jersey operating as a Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1699888065 assigned on August 2006. The practitioner's primary taxonomy code is 204C00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Pediatric Specialties, Pa 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. Paul Joseph Harlow Md (Office Manager)
- NPI
- 1699888065
- Provider Name
- PEDIATRIC SPECIALTIES, PA
- Entity Type
- Organization
- Location Address
- 90 PROSPECT AVE HACKENSACK, NJ 07601
- Location Phone
- (201) 342-4001
- Location Fax
- (201) 342-9569
- Mailing Address
- 90 PROSPECT AVE HACKENSACK, NJ 07601
- Mailing Phone
- (201) 342-4001
- Mailing Fax
- (201) 342-9569
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-17-2006
- Last Update Date
- 08-22-2020
- 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
Neuromusculoskeletal Medicine, Sports Medicine
- Taxonomy Code
- 204C00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
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.
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
- 31D0111810
- Facility Type
- Physician Office
- Certificate Effective Date
- October 26, 2023
- Certificate Expiration Date
- October 25, 2025
- Laboratory Director
- JEFFREY BIENSTOCK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Specialties, Pa 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 | 9 | 9 | 8 | 8 | 8 | 0 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 16 | 8 | 16 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 6 + 8 + 1 + 6 + 0 + 1 + 2 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1699888065 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497723019 | DR. STEVEN HARRIS MATERETSKY M.D. Individual | Pediatrics | 90 PROSPECT AVE SUITE 1A HACKENSACK, NJ 07601 (201) 342-4001 |
| 1659349272 | DR. PAUL JOSEPH HARLOW M.D. Individual | Pediatrics | 90 PROSPECT AVE SUITE 1A HACKENSACK, NJ 07601 (201) 342-4001 |
| 1669432159 | DR. STEPHEN GOMES PEREIRA MD Individual | Surgery | 90 PROSPECT AVE SUITE 1D HACKENSACK, NJ 07601 (201) 343-3433 |
| 1962659912 | DR. ADAM SETH ROSENSTOCK M.D. Individual | Surgery | 90 PROSPECT AVE 1D HACKENSACK, NJ 07601 (201) 343-3433 |
| 1093125700 | DUPREE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC Organization | Specialist | 90 PROSPECT AVE 3B HACKENSACK, NJ 07601 (201) 693-0974 |
| 1669840096 | PROGRESSIVE PEDIATRIC ENDOCRINE Organization | Pediatrics (Pediatric Endocrinology) | 90 PROSPECT AVE HACKENSACK, NJ 07601 (201) 342-6538 |
| 1881662401 | DR. JONATHAN WAYNE WONG Individual | Pediatrics | 90 PROSPECT AVE SUITE 1A HACKENSACK, NJ 07601 (201) 342-4001 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699888065, enumerated in the NPI registry as an "organization" on August 17, 2006
The provider is located at 90 Prospect Ave Hackensack, Nj 07601 and the phone number is (201) 342-4001
This medical organization specializes in Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X
The provider's CLIA number is 31D0111810 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 August 17, 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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