JERSEY CITY RADIATION THERAPY LLC
NPI 1114216660
Radiology - Radiation Oncology in Jersey City, NJ
NPI Status: Active since April 06, 2011
Contact Information
631 GRAND STREET
SUITE 1-1
JERSEY CITY, NJ
ZIP 07304
Phone: (201) 880-7580
Fax: (201) 880-7585
- Organization
- Radiology
- Radiation Oncology
- CLIA Number: 31D2167250
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-04-2027
About JERSEY CITY RADIATION THERAPY LLC
This page provides the complete NPI Profile along with additional information for Jersey City Radiation Therapy Llc, a provider established in Jersey City, New Jersey operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1114216660 assigned on April 2011. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 15 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 Jersey City Radiation Therapy Llc. The authorized official of this NPI record is Donald Vardaro (Administrative Director)
- NPI
- 1114216660
- Provider Legal Name
- SOVEREIGN MEDICAL GROUP LLC
- Other Organization Name
- JERSEY CITY RADIATION THERAPY LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 631 GRAND STREET SUITE 1-1 JERSEY CITY, NJ 07304
- Location Phone
- (201) 880-7580
- Location Fax
- (201) 880-7585
- Mailing Address
- 631 GRAND STREET SUITE 1-1 JERSEY CITY, NJ 07304
- Mailing Phone
- (201) 880-7580
- Mailing Fax
- (201) 880-7585
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-06-2011
- Last Update Date
- 06-09-2011
- 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
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Group Taxonomy 193400000X MULTIPLE 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.
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
- 31D2167250
- Facility Type
- Physician Office
- Certificate Effective Date
- June 05, 2025
- Certificate Expiration Date
- June 04, 2027
- Laboratory Director
- JOHN H. HAJJAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jersey City Radiation Therapy 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 1114216660, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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.
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
JERSEY CITY, NJ 07304
JERSEY CITY, NJ 07304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114216660, enumerated as an "organization" on April 06, 2011.
The provider is located at 631 GRAND STREET SUITE 1-1 JERSEY CITY, NJ 07304 and the phone number is (201) 880-7580.
Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.
