SELEVANY MEDICAL GROUP, INC NPI 1033269915

Specialist in Clifton, NJ

NPI 1033269915 Organization Specialist

NPI Profile for SELEVANY MEDICAL GROUP, INC

Selevany Medical Group, Inc is a provider established in Clifton, New Jersey specializing in specialist. The NPI number of Selevany Medical Group, Inc is 1033269915 and was assigned on January 2007. The practitioner's primary taxonomy code is 174400000X with license number 25MA06471000 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. Selevany Medical Group, Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Muhammad Tahir Selevany M.d (Physician)

NPI

1033269915

Provider NameSELEVANY MEDICAL GROUP, INC
Provider Location Address1003 MAIN AVE CLIFTON, NJ 07011
Provider Mailing Address1003 MAIN AVE CLIFTON, NJ 07011
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-11-2007
Last Update Date02-09-2012


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.25MA06471000
License StateNJ
Taxonomy DescriptionAn 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.

Business Address

SELEVANY MEDICAL GROUP, INC
1003 MAIN AVE
CLIFTON, NJ
ZIP 07011
Phone: (973) 777-9595
Fax: (973) 777-1311

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Mailing Address

SELEVANY MEDICAL GROUP, INC
1003 MAIN AVE
CLIFTON, NJ
ZIP 07011
Phone: (973) 777-9595
Fax: (973) 777-1311



Authorized Official

Authorized Official NameDR. MUHAMMAD TAHIR SELEVANY M.D
Authorized Official TitlePHYSICIAN
Authorized Official Phone(973) 777-9595

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G80229MEDICARE UPIN (02)
078407MEDICARE ID-TYPE UNSPECIFIED (04)NJ

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1033269915
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063461892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 6 + 1 + 8 + 9 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1033269915 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013078385CLIFTON MEDICAL CENTER, INC
Organization
Family Medicine1003 MAIN AVE
CLIFTON, NJ 07011
(973) 777-9595
1306936349DR. JAKAULLA KHAN MD
Individual
Internal Medicine (Infectious Disease)1003 MAIN AVE
CLIFTON, NJ 07011
(973) 777-9595
1588758809DR. MUHAMMAD TAHIR SELEVANY MD
Individual
Internal Medicine1003 MAIN AVE
CLIFTON, NJ 07011
(973) 777-9595

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Selevany Medical Group, Inc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.