SUNDANCE REHABILITATION LLC
NPI 1750336053
Clinic/Center - Rehabilitation in Sewell, NJ

NPI Status: Active since May 24, 2006

Contact Information

102B KINGS WAY W
SEWELL, NJ
ZIP 08080
Phone: (856) 582-4500

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  • Organization
  • Clinic/Center
  • Rehabilitation

About SUNDANCE REHABILITATION LLC

This page provides the complete NPI Profile along with additional information for Sundance Rehabilitation Llc, a provider established in Sewell, New Jersey operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1750336053 assigned on May 2006. The practitioner's primary taxonomy code is 261QR0400X with license number N/A (). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Carl Anthony Shrom (Ceo)

NPI
1750336053
Provider Name
SUNDANCE REHABILITATION LLC
Entity Type
Organization
Location Address
102B KINGS WAY W SEWELL, NJ 08080
Location Phone
(856) 582-4500
Mailing Address
101 E STATE STREET C/O AMY NUNEMAKER KENNETT SQUARE, PA 19348
Mailing Phone
(610) 925-4560
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-24-2006
Last Update Date
05-03-2023
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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 Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities
License No.
N/A

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.

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.

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

CARL ANTHONY SHROM

Authorized Official Title
CEO
Authorized Official Phone
(215) 896-0422

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
343406OTHER (01)BC/BS
602638OTHER (01)KEYSTONE HP EAST
2671079OTHER (01)CIGNA
744645OTHER (01)AMERIHEALTH
C4306OTHER (01)AMERIHEALTH ADMIN.
OK8006OTHER (01)HEALTHNET
1090113OTHER (01)HORIZON MERCY
46101OTHER (01)ORTHONET
SU343406OTHER (01)PENN BS
558970OTHER (01)AETNA US HEALTHCARE
QA9881OTHER (01)EMPIRE

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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.
1750336053
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271006312010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 3 + 1 + 2 + 0 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1750336053 is valid because the calculated check digit 3 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 1750336053, enumerated in the NPI registry as an "organization" on May 24, 2006

The provider is located at 102b Kings Way W Sewell, Nj 08080 and the phone number is (856) 582-4500

This medical organization specializes in Clinic/Center with taxonomy code 261QR0400X with a focus in Rehabilitation

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Cigna,. 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 May 24, 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].
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.