SOURCE INSTITUTE FOR HUMAN PERFORMANCE
NPI 1760641757
Specialist in Princeton, NJ

NPI Status: Active since June 04, 2008

Contact Information

66 WITHERSPOON ST
PRINCETON, NJ
ZIP 08542
Phone: (609) 925-1159

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  • Specialist

About SOURCE INSTITUTE FOR HUMAN PERFORMANCE

This page provides the complete NPI Profile along with additional information for Source Institute For Human Performance, a provider established in Princeton, New Jersey operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1760641757 assigned on June 2008. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Source Institute For Human Performance 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 Source Institute For Human Performance. The authorized official of this NPI record is Mr. David Nogaki C.s.c.s (Director Of Training)

NPI
1760641757
Provider Legal Name
IVY LEAGUE HEALTH & FITNESS
Other Organization Name
SOURCE INSTITUTE FOR HUMAN PERFORMANCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
66 WITHERSPOON ST PRINCETON, NJ 08542
Location Phone
(609) 925-1159
Mailing Address
66 WITHERSPOON ST PMB 403 PRINCETON, NJ 08542
Mailing Phone
(609) 925-1159
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2008
Last Update Date
10-30-2011
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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

MR. DAVID NOGAKI C.S.C.S

Authorized Official Title
DIRECTOR OF TRAINING
Authorized Official Phone
(609) 925-1159

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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.
1760641757
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201242710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 2 + 4 + 2 + 7 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1760641757 is valid because the calculated check digit 7 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
1235435025TNC ENTERPRISES
Organization
Specialist66 WITHERSPOON ST PMB 403
PRINCETON, NJ 08542
(609) 672-7267

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760641757, enumerated in the NPI registry as an "organization" on June 04, 2008

The provider is located at 66 Witherspoon St Princeton, Nj 08542 and the phone number is (609) 925-1159

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on June 04, 2008. 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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