BUCKLEY'S RENEWAL CENTER
NPI 1043636608
Clinic/Center - Occupational Medicine in Bethesda, MD

NPI Status: Active since March 06, 2014

Contact Information

4641 MONTGOMERY AVE STE 10
BETHESDA, MD
ZIP 20814
Phone: (301) 657-3033
Fax: (240) 408-7887

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 21D2058137
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-29-2027

About BUCKLEY'S RENEWAL CENTER

This page provides the complete NPI Profile along with additional information for Buckley's Renewal Center, a provider established in Bethesda, Maryland operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1043636608 assigned on March 2014. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Buckley's Renewal Center. The authorized official of this NPI record is Thomas Musembi (General Manager)

NPI
1043636608
Provider Legal Name
MOTSEN LLC
Other Organization Name
BUCKLEY'S RENEWAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4641 MONTGOMERY AVE STE 10 BETHESDA, MD 20814
Location Phone
(301) 657-3033
Location Fax
(240) 408-7887
Mailing Address
4641 MONTGOMERY AVE SUITE 10 LOWER LEVEL BETHESDA, MD 20814
Mailing Phone
(301) 657-3033
Mailing Fax
(240) 408-7887
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2014
Last Update Date
11-18-2020
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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 Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
2291U00000XLaboratories

Clinical Medical Laboratory

1538477971 (MD)
3332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

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

THOMAS MUSEMBI

Authorized Official Title
GENERAL MANAGER
Authorized Official Phone
(301) 657-3033

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
1518028984OTHER (01)NPI DR. KARM
1326574799MEDICAID (05)MD 
1518028984MEDICAID (05)MD 
1588190813MEDICAID (05)MD 
1306092135OTHER (01)NPI- DR. MCCALL
1306092135MEDICAID (05)MD 
1326574799OTHER (01)NPI-DR TEAGUE
1588190813OTHER (01)NPI-DR. AJOSE
1932455300OTHER (01)NPI DR. BEY
1932455300MEDICAID (05)MD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2058137
Facility Type
Physician Office
Certificate Effective Date
April 30, 2025
Certificate Expiration Date
April 29, 2027
Laboratory Director
LYA M. KARM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Buckley's Renewal Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043636608, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 2 + 3 + 1 + 2 + 6 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1043636608.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043636608, enumerated as an "organization" on March 06, 2014.

The provider is located at 4641 MONTGOMERY AVE STE 10 BETHESDA, MD 20814 and the phone number is (301) 657-3033.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.