WALSON MEDICAL SUPPORT ELEMENT
NPI 1154474419
Clinic/Center - Military Outpatient Operational (Transportable) Component in Ft. Dix, NJ

NPI Status: Active since January 19, 2007

Contact Information

5631 BALTIMORE AVE
FT. DIX, NJ
ZIP 08640
Phone: (609) 562-5419

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  • Organization
  • Clinic/Center
  • Military Outpatient Operational (Transpo...

About WALSON MEDICAL SUPPORT ELEMENT

This page provides the complete NPI Profile along with additional information for Walson Medical Support Element, a provider established in Ft. Dix, New Jersey operating as a Clinic/center, focusing in military outpatient operational (transportable) component . The healthcare provider is registered in the NPI registry with number 1154474419 assigned on January 2007. The practitioner's primary taxonomy code is 261QM1102X with license number F333963-1 (NM). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Albert Martins Md (Dccs)

NPI
1154474419
Provider Name
WALSON MEDICAL SUPPORT ELEMENT
Entity Type
Organization
Location Address
5631 BALTIMORE AVE FT. DIX, NJ 08640
Location Phone
(609) 562-5419
Mailing Address
1562 MARINE PKWY BROOKLYN, NY 11234
Mailing Phone
(347) 733-9938
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2007
Last Update Date
08-22-2020
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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

Clinic/Center Military Outpatient Operational (Transportable) Component

Taxonomy Code
261QM1102X
Type
Ambulatory Health Care Facilities
License No.
F333963-1
License State
NM
Taxonomy Description
Non-fixed facilities or distinct parts of a non-fixed facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. Non-fixed facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. Non-fixed facilities include outpatient services furnished onboard ships. Non-fixed facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

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

ALBERT MARTINS MD

Authorized Official Title
DCCS
Authorized Official Phone
(609) 562-5419

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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 1154474419, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 8 + 7 + 8 + 4 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1154474419.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154474419, enumerated as an "organization" on January 19, 2007.

The provider is located at 5631 BALTIMORE AVE FT. DIX, NJ 08640 and the phone number is (609) 562-5419.

Clinic/Center with taxonomy code 261QM1102X and a focus in Military Outpatient Operational (Transportable) Component.