DISPATCHHEALTH MEDICAL PC
NPI 1124630975
Emergency Medicine in Upper Saddle River, NJ

NPI Status: Active since August 21, 2020

Contact Information

2 PARK WAY # 1B
UPPER SADDLE RIVER, NJ
ZIP 07458
Phone: (201) 882-7526

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  • Organization
  • Emergency Medicine
  • CLIA Number: 31D2164510
  • CLIA Cert. Type: Other - POL TEMP TSTG SITES
  • CLIA Exp. Date: 10-19-2027

About DISPATCHHEALTH MEDICAL PC

This page provides the complete NPI Profile along with additional information for Dispatchhealth Medical Pc, a provider established in Upper Saddle River, New Jersey operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1124630975 assigned on August 2020. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Dispatchhealth Medical Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is William Kramer (Chief Legal Officer)

NPI
1124630975
Provider Legal Name
DISPATCHHEALTH MEDICAL PC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2 PARK WAY # 1B UPPER SADDLE RIVER, NJ 07458
Location Phone
(201) 882-7526
Mailing Address
3825 N LAFAYETTE ST DENVER, CO 80205
Mailing Phone
(303) 500-1518
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-21-2020
Last Update Date
07-15-2025
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Location Map

Secondary Locations

  • 540 State Route 10 Ste 1
    Randolph, NJ 07869
    (303) 500-1518

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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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.

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

WILLIAM KRAMER

Authorized Official Title
CHIEF LEGAL OFFICER
Authorized Official Phone
(215) 813-5940

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
31D2164510
Facility Type
Other - POL TEMP TSTG SITES
Certificate Effective Date
October 20, 2025
Certificate Expiration Date
October 19, 2027
Laboratory Director
DR. LINDA DECHERRIE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Dispatchhealth Medical Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1124630975, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 6 → 12 → 3 0 → 0 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 + 4 + 4 + 1 + 2 + 3 + 0 + 9 + 1 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124630975.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124630975, enumerated as an "organization" on August 21, 2020.

The provider is located at 2 PARK WAY # 1B UPPER SADDLE RIVER, NJ 07458 and the phone number is (201) 882-7526.

Emergency Medicine with taxonomy code 207P00000X.