PALISADES PARK PAIN & REHABILITATION MEDICINE, PA
NPI 1063647980
Internal Medicine - Nephrology in Ridgefield, NJ

NPI Status: Active since May 21, 2009

Contact Information

784 GRAND AVE STE 301
RIDGEFIELD, NJ
ZIP 07657
Phone: (201) 944-1124
Fax: (201) 699-0406

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  • Organization
  • Internal Medicine
  • Nephrology

About PALISADES PARK PAIN & REHABILITATION MEDICINE, PA

This page provides the complete NPI Profile along with additional information for Palisades Park Pain & Rehabilitation Medicine, Pa, an internist established in Ridgefield, New Jersey operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1063647980 assigned on May 2009. The practitioner's primary taxonomy code is 207RN0300X with license number MA58515 (NJ). The provider is registered as an organization and their NPI record was last updated 6 years ago. Palisades Park Pain & Rehabilitation Medicine, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Wonil Park Md (President)

NPI
1063647980
Provider Name
PALISADES PARK PAIN & REHABILITATION MEDICINE, PA
Entity Type
Organization
Location Address
784 GRAND AVE STE 301 RIDGEFIELD, NJ 07657
Location Phone
(201) 944-1124
Location Fax
(201) 699-0406
Mailing Address
784 GRAND AVE STE 301 RIDGEFIELD, NJ 07657
Mailing Phone
(201) 944-1124
Mailing Fax
(201) 699-0406
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2009
Last Update Date
05-07-2020
Code Navigator

An internist like Palisades Park Pain & Rehabilitation Medicine, Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
MA58515
License State
NJ
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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

DR. WONIL PARK MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(201) 944-1124

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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 1063647980, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 1 + 2 + 4 + 1 + 4 + 9 + 1 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1063647980.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063647980, enumerated as an "organization" on May 21, 2009.

The provider is located at 784 GRAND AVE STE 301 RIDGEFIELD, NJ 07657 and the phone number is (201) 944-1124.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.