VITALY FISHBEIN MD LLC
NPI 1174709653
Internal Medicine - Gastroenterology in West Orange, NJ
NPI Status: Active since January 15, 2008
Contact Information
401 PLEASANT VALLEY WAY
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 736-1112
Fax: (973) 736-5590
- Organization
- Internal Medicine
- Gastroenterology
- CLIA Number: 31D1011922
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-08-2028
About VITALY FISHBEIN MD LLC
This page provides the complete NPI Profile along with additional information for Vitaly Fishbein Md Llc, an internist established in West Orange, New Jersey operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1174709653 assigned on January 2008. The practitioner's primary taxonomy code is 207RG0100X with license number MA05902900 (NJ). The provider is registered as an organization and their NPI record was last updated 18 years ago. Vitaly Fishbein Md Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Vitaly Fishbein M.d. (President)
- NPI
- 1174709653
- Provider Name
- VITALY FISHBEIN MD LLC
- Entity Type
- Organization
- Location Address
- 401 PLEASANT VALLEY WAY WEST ORANGE, NJ 07052
- Location Phone
- (973) 736-1112
- Location Fax
- (973) 736-5590
- Mailing Address
- 401 PLEASANT VALLEY WAY WEST ORANGE, NJ 07052
- Mailing Phone
- (973) 736-1112
- Mailing Fax
- (973) 736-5590
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-15-2008
- Last Update Date
- 01-15-2008
- Code Navigator
An internist like Vitaly Fishbein Md Llc 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 Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MA05902900
- License State
- NJ
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | MA07148100 (NJ) |
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.
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.
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 |
|---|---|---|---|
| F00153 | MEDICARE UPIN (02) | NJ | |
| 6000908 | MEDICAID (05) | NJ | |
| 088978 | MEDICARE PIN (08) | NJ |
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
- 31D1011922
- Facility Type
- Physician Office
- Certificate Effective Date
- January 09, 2026
- Certificate Expiration Date
- January 08, 2028
- Laboratory Director
- VITALY FISHBEIN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Vitaly Fishbein Md Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1174709653, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174709653, enumerated as an "organization" on January 15, 2008.
The provider is located at 401 PLEASANT VALLEY WAY WEST ORANGE, NJ 07052 and the phone number is (973) 736-1112.
Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
