HACKENSACK UNIVERSITY MEDICAL CENTER
NPI 1114348976
Urology in Hackensack, NJ

NPI Status: Active since December 21, 2013

Contact Information

360 ESSEX ST
SUITE 403
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-8316
Fax: (551) 996-8221

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  • Organization
  • Urology
  • CLIA Number: 31D2161131
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-27-2027

About HACKENSACK UNIVERSITY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Hackensack University Medical Center, a provider established in Hackensack, New Jersey operating as a Urology. The healthcare provider is registered in the NPI registry with number 1114348976 assigned on December 2013. The practitioner's primary taxonomy code is 208800000X with license number 25MA06270300 (NJ). The provider is registered as an organization and their NPI record was last updated 12 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 authorized official of this NPI record is Dr. Richard A Watson M.d. (Director Of Residency Training)

NPI
1114348976
Provider Name
HACKENSACK UNIVERSITY MEDICAL CENTER
Entity Type
Organization
Location Address
360 ESSEX ST SUITE 403 HACKENSACK, NJ 07601
Location Phone
(551) 996-8316
Location Fax
(551) 996-8221
Mailing Address
360 ESSEX ST SUITE 403 HACKENSACK, NJ 07601
Mailing Phone
(551) 996-8316
Mailing Fax
(551) 996-8221
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2013
Last Update Date
12-21-2013
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
25MA06270300
License State
NJ
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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. RICHARD A WATSON M.D.

Authorized Official Title
DIRECTOR OF RESIDENCY TRAINING
Authorized Official Phone
(551) 996-8316

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
31D2161131
Facility Type
Physician Office
Certificate Effective Date
January 28, 2025
Certificate Expiration Date
January 27, 2027
Laboratory Director
ROBERT J. GALLO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hackensack University Medical Center 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 1114348976, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 6 + 4 + 1 + 6 + 9 + 1 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1114348976.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
360 ESSEX ST
HACKENSACK, NJ 07601
Family Medicine
360 ESSEX ST, SUITE 203
HACKENSACK, NJ 07601
Urology
360 ESSEX ST
HACKENSACK, NJ 07601
Urology
360 ESSEX ST, SUITE 403
HACKENSACK, NJ 07601
Pediatrics (Pediatric Gastroenterology)
360 ESSEX ST, SUITE 402
HACKENSACK, NJ 07601
Pediatrics (Pediatric Gastroenterology)
360 ESSEX ST, SUITE 402
HACKENSACK, NJ 07601
Urology
360 ESSEX ST, SUITE 403
HACKENSACK, NJ 07601
Physician Assistant
360 ESSEX ST, SUITE 303
HACKENSACK, NJ 07601
Surgery
360 ESSEX ST, SUITE 401
HACKENSACK, NJ 07601
Clinic/Center (Occupational Medicine)
360 ESSEX ST, SUITE 203
HACKENSACK, NJ 07601
Specialist
360 ESSEX ST, SUITE # 402
HACKENSACK, NJ 07601
Urology
360 ESSEX ST, DEPT OF UROLOGY
HACKENSACK, NJ 07601
Physical Therapist
360 ESSEX ST, SUITE 202
HACKENSACK, NJ 07601
Pharmacist
360 ESSEX ST
HACKENSACK, NJ 07601
Pharmacist
360 ESSEX ST
HACKENSACK, NJ 07601
Orthopaedic Surgery
360 ESSEX ST, SUITE 303
HACKENSACK, NJ 07601
Specialist
360 ESSEX ST, SUITE 403
HACKENSACK, NJ 07601
Urology
360 ESSEX ST, SUITE 403
HACKENSACK, NJ 07601
Orthopaedic Surgery
360 ESSEX ST, SUITE 303
HACKENSACK, NJ 07601
Allergy & Immunology
360 ESSEX ST, SUITE 302
HACKENSACK, NJ 07601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114348976, enumerated as an "organization" on December 21, 2013.

The provider is located at 360 ESSEX ST SUITE 403 HACKENSACK, NJ 07601 and the phone number is (551) 996-8316.

Urology with taxonomy code 208800000X.