ANDREAS D. ROTSIDES, MD, LLC
NPI 1104880061
Internal Medicine in Mine Hill, NJ

NPI Status: Active since April 16, 2006

Contact Information

195 US HIGHWAY 46
SUITE 200
MINE HILL, NJ
ZIP 07803
Phone: (973) 328-1040
Fax: (973) 328-1544

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  • Organization
  • Internal Medicine
  • CLIA Number: 31D1047860
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-15-2027

About ANDREAS D. ROTSIDES, MD, LLC

This page provides the complete NPI Profile along with additional information for Andreas D. Rotsides, Md, Llc, an internist established in Mine Hill, New Jersey operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1104880061 assigned on April 2006. The practitioner's primary taxonomy code is 207R00000X with license number 25MA05010400 (NJ). The provider is registered as an organization and their NPI record was last updated 17 years ago. Andreas D. Rotsides, Md, Llc 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. Andreas D Rotsides Md (Owner)

NPI
1104880061
Provider Name
ANDREAS D. ROTSIDES, MD, LLC
Entity Type
Organization
Location Address
195 US HIGHWAY 46 SUITE 200 MINE HILL, NJ 07803
Location Phone
(973) 328-1040
Location Fax
(973) 328-1544
Mailing Address
195 US HIGHWAY 46 SUITE 200 MINE HILL, NJ 07803
Mailing Phone
(973) 328-1040
Mailing Fax
(973) 328-1544
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2006
Last Update Date
09-08-2009
Code Navigator

An internist like Andreas D. Rotsides, Md, Llc 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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
25MA05010400
License State
NJ
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1207RG0300XAllopathic & Osteopathic Physicians

Internal Medicine
Geriatric Medicine

25MA05010400 (NJ)

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.

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.

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

DR. ANDREAS D ROTSIDES MD

Authorized Official Title
OWNER
Authorized Official Phone
(973) 328-1040

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
DG4164OTHER (01)NJRAILROAD MEDICARE GRP
2352899001OTHER (01)NJAMERIHEALTH GROUP ID
=========OTHER (01)NJPRACTICE TIN
090981MEDICARE ID-TYPE UNSPECIFIED (04)NJMEDICARE GROUP ID
0077241MEDICAID (05)NJ 
090981MEDICARE PIN (08)NJ 

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
31D1047860
Facility Type
Physician Office
Certificate Effective Date
November 16, 2025
Certificate Expiration Date
November 15, 2027
Laboratory Director
ANDREAS D. ROTSIDES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Andreas D. Rotsides, Md, Llc 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 1104880061, 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 6 + 8 + 0 + 0 + 1 + 2 + 24 = 49

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.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104880061.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine
195 US HIGHWAY 46, SUITE 200
MINE HILL, NJ 07803
Nurse Practitioner (Primary Care)
195 US HIGHWAY 46, SUITE 200
MINE HILL, NJ 07803
Surgery (Vascular Surgery)
195 US HIGHWAY 46, SUITE 201
MINE HILL, NJ 07803
Internal Medicine (Gastroenterology)
195 US HIGHWAY 46, SUITE 203
MINE HILL, NJ 07803
Nurse Practitioner (Family)
195 US HIGHWAY 46
MINE HILL, NJ 07803
Nurse Practitioner (Primary Care)
195 US HIGHWAY 46
MINE HILL, NJ 07803
Internal Medicine (Nephrology)
195 US HIGHWAY 46, SUITE 101
MINE HILL, NJ 07803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104880061, enumerated as an "organization" on April 16, 2006.

The provider is located at 195 US HIGHWAY 46 SUITE 200 MINE HILL, NJ 07803 and the phone number is (973) 328-1040.

Internal Medicine with taxonomy code 207R00000X.

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