MEADOWLANDS MEDICAL CENTER,PA
NPI 1124050711
Clinic/Center - Primary Care in Orange Park, FL

NPI Status: Active since July 06, 2006

Contact Information

179 COLLEGE DR
STE 17
ORANGE PARK, FL
ZIP 32065
Phone: (904) 592-7818
Fax: (904) 602-5599

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 10D0267092
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-23-2025

About MEADOWLANDS MEDICAL CENTER,PA

This page provides the complete NPI Profile along with additional information for Meadowlands Medical Center,pa, a primary care provider established in Orange Park, Florida operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1124050711 assigned on July 2006. The practitioner's primary taxonomy code is 261QP2300X with license number ME70009 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Marc Louis Alessandria Md (Owner/president)

NPI
1124050711
Provider Name
MEADOWLANDS MEDICAL CENTER,PA
Entity Type
Organization
Location Address
179 COLLEGE DR STE 17 ORANGE PARK, FL 32065
Location Phone
(904) 592-7818
Location Fax
(904) 602-5599
Mailing Address
179 COLLEGE DR STE 17 ORANGE PARK, FL 32065
Mailing Phone
(904) 272-7272
Mailing Fax
(904) 602-5599
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2006
Last Update Date
10-25-2017
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A primary care provider (PCP) like Meadowlands Medical Center,pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
ME70009
License State
FL

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.

*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

MARC LOUIS ALESSANDRIA MD

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(904) 592-7818

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
265625600MEDICAID (05)FL 
K2681MEDICARE ID-TYPE UNSPECIFIED (04)FL 
72398OTHER (01)FLBLUE CROSS

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
10D0267092
Facility Type
Physician Office
Certificate Effective Date
October 24, 2023
Certificate Expiration Date
October 23, 2025
Laboratory Director
MARC L. ALESSANDRIA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Meadowlands Medical Center,pa 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124050711
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214405072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 5 + 0 + 7 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1124050711 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124050711, enumerated as an "organization" on July 06, 2006.

The provider is located at 179 COLLEGE DR STE 17 ORANGE PARK, FL 32065 and the phone number is (904) 592-7818.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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