PEDIATRIC DAY HLTH CTR GALLOW
NPI 1790871812
Clinic/Center - Medically Fragile Infants and Children Day Care in Galloway, NJ

NPI Status: Active since October 05, 2006

Contact Information

66 W JIMMIE LEEDS RD
GALLOWAY, NJ
ZIP 08205
Phone: (609) 748-9100
Fax: (609) 748-9300

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  • Organization
  • Clinic/Center
  • Medically Fragile Infants and Children D...

About PEDIATRIC DAY HLTH CTR GALLOW

This page provides the complete NPI Profile along with additional information for Pediatric Day Hlth Ctr Gallow, a provider established in Galloway, New Jersey operating as a Clinic/center, focusing in medically fragile infants and children day care . The healthcare provider is registered in the NPI registry with number 1790871812 assigned on October 2006. The practitioner's primary taxonomy code is 261QM3000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Robert J Sall (C.e.o.)

NPI
1790871812
Provider Name
PEDIATRIC DAY HLTH CTR GALLOW
Entity Type
Organization
Location Address
66 W JIMMIE LEEDS RD GALLOWAY, NJ 08205
Location Phone
(609) 748-9100
Location Fax
(609) 748-9300
Mailing Address
1114 WYNNWOOD AVE CHERRY HILL, NJ 08002
Mailing Phone
(856) 663-4044
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2006
Last Update Date
07-10-2007
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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 Medically Fragile Infants and Children Day Care

Taxonomy Code
261QM3000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

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

ROBERT J SALL

Authorized Official Title
C.E.O.
Authorized Official Phone
(856) 663-4044

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
0103616MEDICAID (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.
1790871812
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180167282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 7 + 2 + 8 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1790871812 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770791501MR. JOSEPH LOUIS SIMMONS OTR
Individual
Occupational Therapist66 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
(609) 748-9100
1477148922 ANGELA MANGARO APN
Individual
Nurse Practitioner (Gerontology)66 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
(609) 748-9100
1144666579GALLOWAY NURSING & REHAB LLC
Organization
Skilled Nursing Facility66 W JIMMIE LEEDS RD
GALLOWAY, NJ 08205
(609) 748-9100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790871812, enumerated in the NPI registry as an "organization" on October 05, 2006

The provider is located at 66 W Jimmie Leeds Rd Galloway, Nj 08205 and the phone number is (609) 748-9100

This medical organization specializes in Clinic/Center with taxonomy code 261QM3000X with a focus in Medically Fragile Infants and Children Day Care

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 October 05, 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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