MRS. PEARL A LAKE
NPI 1053907261
Military Health Care Provider in Philadelphia, PA
NPI Status: Active since December 12, 2020
Contact Information
2214 S 57TH ST
PHILADELPHIA, PA
ZIP 19143
Phone: (886) 884-8807
Fax: (215) 825-5161
- Individual
- Female
- Military Health Care Provider
About PEARL LAKE
This page provides the complete NPI Profile along with additional information for Pearl Lake, a provider established in Philadelphia, Pennsylvania with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1053907261 assigned on December 2020. The practitioner's primary taxonomy code is 171000000X with license number 7000.000000634RMA (PA). The provider is registered as an individual and her NPI record was last updated 5 years ago. Pearl Lake operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.
- NPI
- 1053907261
- Provider Name
- MRS. PEARL A LAKE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2214 S 57TH ST PHILADELPHIA, PA 19143
- Location Phone
- (886) 884-8807
- Location Fax
- (215) 825-5161
- Mailing Address
- 2250 E MONMOUTH ST PHILADELPHIA, PA 19134
- Mailing Phone
- (267) 884-8807
- Mailing Fax
- (215) 825-5161
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-12-2020
- Last Update Date
- 12-12-2020
- Code Navigator
Location Map
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
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- License No.
- 7000.000000634RMA
- License State
- PA
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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) |
|---|---|---|---|---|
| 1 | 171000000X | Other Service Providers | Military Health Care Provider | 70000634RMA (PA) |
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.
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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 1053907261, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053907261, enumerated as an "individual" on December 12, 2020.
The provider is located at 2214 S 57TH ST PHILADELPHIA, PA 19143 and the phone number is (886) 884-8807.
Military Health Care Provider with taxonomy code 171000000X.
