JACKSONVILLE COSMETIC SURGRY CENTER
NPI 1174635148
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

NPI Status: Active since August 31, 2006

Contact Information

820 PRUDENTIAL DR
SUITE 702
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 399-5061
Fax: (904) 399-5062

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About JACKSONVILLE COSMETIC SURGRY CENTER

This page provides the complete NPI Profile along with additional information for Jacksonville Cosmetic Surgry Center, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1174635148 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's former legal business name is Plastic And Cosmetic Surgery Center. The authorized official of this NPI record is Dr. A.h. Nezami M.d. (President)

NPI
1174635148
Provider Legal Name
JACKSONVILLE COSMETIC SURGRY CENTER
Other Organization Name
PLASTIC AND COSMETIC SURGERY CENTER
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
820 PRUDENTIAL DR SUITE 702 JACKSONVILLE, FL 32207
Location Phone
(904) 399-5061
Location Fax
(904) 399-5062
Mailing Address
820 PRUDENTIAL DR SUITE 702 JACKSONVILLE, FL 32207
Mailing Phone
(904) 399-5061
Mailing Fax
(904) 399-5062
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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.

*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

DR. A.H. NEZAMI M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 399-5061

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
138OTHER (01)FLOFFICE SERGERY REGISTRATI

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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 1174635148, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 2 + 3 + 1 + 0 + 1 + 8 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1174635148.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Emergency Medicine (Emergency Medical Services)
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, 713
JACKSONVILLE, FL 32207
Family Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Pediatrics (Pediatric Nephrology)
820 PRUDENTIAL DR, UFJP PEDIATRIC MULTI-SPECIALTY CLINIC
JACKSONVILLE, FL 32207
Specialist
820 PRUDENTIAL DR, SUITE 112
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Nurse Practitioner (Family)
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Dietitian, Registered
820 PRUDENTIAL DR, SUITE 416
JACKSONVILLE, FL 32207
Dietitian, Registered
820 PRUDENTIAL DR, SUITE 416
JACKSONVILLE, FL 32207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174635148, enumerated as an "organization" on August 31, 2006.

The provider is located at 820 PRUDENTIAL DR SUITE 702 JACKSONVILLE, FL 32207 and the phone number is (904) 399-5061.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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