DELAWARE VALLEY MEDICAL, INC. BLACKWOOD CLINIC
NPI 1700909629
Clinic/Center - Methadone in Blackwood, NJ

NPI Status: Active since April 07, 2007

Contact Information

300 WOODBURY TURNERSVILLE RD
BLACKWOOD, NJ
ZIP 08012
Phone: (856) 227-5254
Fax: (856) 665-5212

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  • Organization
  • Clinic/Center
  • Methadone

About DELAWARE VALLEY MEDICAL, INC. BLACKWOOD CLINIC

This page provides the complete NPI Profile along with additional information for Delaware Valley Medical, Inc. Blackwood Clinic, a provider established in Blackwood, New Jersey operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1700909629 assigned on April 2007. The practitioner's primary taxonomy code is 261QM2800X with license number 20000238-07 (NJ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Delaware Valley Medical, Inc. Blackwood Clinic. The authorized official of this NPI record is Linda Voorhis Ba, Cadc, Ccs (Chief Executive Director)

NPI
1700909629
Provider Legal Name
DELAWARE VALLEY MEDICAL, INC.
Other Organization Name
DELAWARE VALLEY MEDICAL, INC. BLACKWOOD CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
300 WOODBURY TURNERSVILLE RD BLACKWOOD, NJ 08012
Location Phone
(856) 227-5254
Location Fax
(856) 665-5212
Mailing Address
PO BOX 8697 COLLINGSWOOD, NJ 08108
Mailing Phone
(856) 665-5100
Mailing Fax
(856) 665-5212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2007
Last Update Date
08-22-2020
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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

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
20000238-07
License State
NJ
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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.

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

LINDA VOORHIS BA, CADC, CCS

Authorized Official Title
CHIEF EXECUTIVE DIRECTOR
Authorized Official Phone
(856) 665-5100

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
APPLIED FORMEDICAID (05)NJ 

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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.
1700909629
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001801864
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 0 + 1 + 8 + 6 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1700909629 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 1700909629, enumerated in the NPI registry as an "organization" on April 07, 2007

The provider is located at 300 Woodbury Turnersville Rd Blackwood, Nj 08012 and the phone number is (856) 227-5254

This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone

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 April 07, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.