SOUTH JERSEY OCCUPATIONAL MEDICINE
NPI 1073785655
Preventive Medicine - Occupational Medicine in Williamstown, NJ

NPI Status: Active since March 24, 2008

Contact Information

979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ
ZIP 08094
Phone: (856) 629-5151
Fax: (856) 504-8029

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  • Organization
  • Preventive Medicine
  • Occupational Medicine
  • CLIA Number: 31D0873864
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-27-2027

About SOUTH JERSEY OCCUPATIONAL MEDICINE

This page provides the complete NPI Profile along with additional information for South Jersey Occupational Medicine, a provider established in Williamstown, New Jersey operating as a Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1073785655 assigned on March 2008. The practitioner's primary taxonomy code is 2083X0100X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as South Jersey Occupational Medicine. The authorized official of this NPI record is Dr. John M. Tedeschi Md (Ceo/ Chairman)

NPI
1073785655
Provider Legal Name
ADVOCARE
Other Organization Name
SOUTH JERSEY OCCUPATIONAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
979 N BLACK HORSE PIKE WILLIAMSTOWN, NJ 08094
Location Phone
(856) 629-5151
Location Fax
(856) 504-8029
Mailing Address
1020 LAUREL OAK RD SUITE 201 VOORHEES, NJ 08043
Mailing Phone
(856) 782-3300
Mailing Fax
(856) 504-8029
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-24-2008
Last Update Date
03-24-2008
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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

Preventive Medicine Occupational Medicine

Taxonomy Code
2083X0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

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.

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. JOHN M. TEDESCHI MD

Authorized Official Title
CEO/ CHAIRMAN
Authorized Official Phone
(856) 782-3300

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
31D0873864
Facility Type
Physician Office
Certificate Effective Date
July 28, 2025
Certificate Expiration Date
July 27, 2027
Laboratory Director
RICHARD F. GOLDEN DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Jersey Occupational Medicine 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 1073785655, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 7 → 14 → 5 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 4 + 8 + 1 + 0 + 6 + 1 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1073785655.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Internal Medicine (Geriatric Medicine)
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Clinic/Center (Occupational Medicine)
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Physician Assistant
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073785655, enumerated as an "organization" on March 24, 2008.

The provider is located at 979 N BLACK HORSE PIKE WILLIAMSTOWN, NJ 08094 and the phone number is (856) 629-5151.

Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.