PARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC
NPI 1124254552
Internal Medicine - Adolescent Medicine in Camden, NJ

NPI Status: Active since May 29, 2009

Contact Information

1300 PRINCESS AVE
CAMDEN, NJ
ZIP 08103
Phone: (856) 964-5569
Fax: (856) 964-0744

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  • Organization
  • Internal Medicine
  • Adolescent Medicine

About PARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Parkside Adolescent And Adult Medical Clinic, an internist established in Camden, New Jersey operating as a Internal Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1124254552 assigned on May 2009. The practitioner's primary taxonomy code is 207RA0000X with license number 25MAO8519200 (NJ). The provider is registered as an organization and their NPI record was last updated 17 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. Sherita Monai Latimore-collier Md (Md)

NPI
1124254552
Provider Name
PARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC
Entity Type
Organization
Location Address
1300 PRINCESS AVE CAMDEN, NJ 08103
Location Phone
(856) 964-5569
Location Fax
(856) 964-0744
Mailing Address
1300 PRINCESS AVE CAMDEN, NJ 08103
Mailing Phone
(856) 964-5569
Mailing Fax
(856) 964-0744
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2009
Last Update Date
07-30-2009
Code Navigator

An internist like Parkside Adolescent And Adult Medical Clinic 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 Adolescent Medicine

Taxonomy Code
207RA0000X
Type
Allopathic & Osteopathic Physicians
License No.
25MAO8519200
License State
NJ
Taxonomy Description
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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. SHERITA MONAI LATIMORE-COLLIER MD

Authorized Official Title
MD
Authorized Official Phone
(856) 964-5569

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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 1124254552, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 2 → 4 2 → 4 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 4 + 5 + 8 + 5 + 1 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124254552.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

In Home Supportive Care
1300 PRINCESS AVE
CAMDEN, NJ 08103
Internal Medicine
1300 PRINCESS AVE
CAMDEN, NJ 08103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124254552, enumerated as an "organization" on May 29, 2009.

The provider is located at 1300 PRINCESS AVE CAMDEN, NJ 08103 and the phone number is (856) 964-5569.

Internal Medicine with taxonomy code 207RA0000X and a focus in Adolescent Medicine.