TINTON FALLS VA CLINIC
NPI 1215982772
Clinic/Center - VA in Tinton Falls, NJ

NPI Status: Active since May 23, 2006

Contact Information

55 N GILBERT ST
BLDG 4, 1ST FLOOR, SUITE 4101
TINTON FALLS, NJ
ZIP 07701
Phone: (717) 277-6565

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 31D1051361
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About TINTON FALLS VA CLINIC

This page provides the complete NPI Profile along with additional information for Tinton Falls Va Clinic, a provider established in Tinton Falls, New Jersey operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1215982772 assigned on May 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Tinton Falls Va Clinic. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1215982772
Provider Legal Name
EAST ORANGE VAMC
Other Organization Name
TINTON FALLS VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
55 N GILBERT ST BLDG 4, 1ST FLOOR, SUITE 4101 TINTON FALLS, NJ 07701
Location Phone
(717) 277-6565
Mailing Address
PO BOX 94438 CLEVELAND, OH 44101
Mailing Phone
(717) 277-6565
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2006
Last Update Date
01-10-2023
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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 VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

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

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

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
31D1051361
Facility Type
Community Clinic
Certificate Effective Date
March 01, 2006
Certificate Expiration Date
May 22, 2026
Laboratory Director
CYNTHIA BOWMAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Tinton Falls Va Clinic 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 1215982772, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 1 → 2 9 → 18 → 9 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 1 + 8 + 8 + 4 + 7 + 1 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1215982772.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
55 N GILBERT ST, SUITE 2101
TINTON FALLS, NJ 07701
Pediatrics
55 N GILBERT ST, SUITE 2101
TINTON FALLS, NJ 07701
Pediatrics
55 N GILBERT ST, SUITE 2101
TINTON FALLS, NJ 07701
Pediatrics
55 N GILBERT ST
TINTON FALLS, NJ 07701
Counselor (Professional)
55 N GILBERT ST, SUITE 3202
TINTON FALLS, NJ 07701
Psychiatry & Neurology (Psychiatry)
55 N GILBERT ST, TINTON FALLS VA - CBOC, BLDG 4, STE 4101
TINTON FALLS, NJ 07701
Pediatrics
55 N GILBERT ST, SUITE #2101
TINTON FALLS, NJ 07701
Internal Medicine (Cardiovascular Disease)
55 N GILBERT ST, BUILDING 3 SUITE 3-102
TINTON FALLS, NJ 07701
Clinical Neuropsychologist
55 N GILBERT ST, BUILDING 4, SUITE 4101
TINTON FALLS, NJ 07701
Pediatrics
55 N GILBERT ST
TINTON FALLS, NJ 07701
Non-Pharmacy Dispensing Site
55 N GILBERT ST, FIRST FLOOR, SUITE 3104
TINTON FALLS, NJ 07701
Internal Medicine
55 N GILBERT ST, SUITE 3201
TINTON FALLS, NJ 07701
Podiatrist
55 N GILBERT ST, SUITE 3104
TINTON FALLS, NJ 07701
Chiropractor
55 N GILBERT ST, STE 3101
TINTON FALLS, NJ 07701
Pediatrics
55 N GILBERT ST, SUITE 2101
TINTON FALLS, NJ 07701
Family Medicine (Sports Medicine)
55 N GILBERT ST, SUITE 1101
TINTON FALLS, NJ 07701
Physical Medicine & Rehabilitation
55 N GILBERT ST, STE 3201
TINTON FALLS, NJ 07701
Family Medicine (Sports Medicine)
55 N GILBERT ST
TINTON FALLS, NJ 07701
Social Worker (Clinical)
55 N GILBERT ST
TINTON FALLS, NJ 07701
Nurse Practitioner (Pediatrics)
55 N GILBERT ST
TINTON FALLS, NJ 07701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215982772, enumerated as an "organization" on May 23, 2006.

The provider is located at 55 N GILBERT ST BLDG 4, 1ST FLOOR, SUITE 4101 TINTON FALLS, NJ 07701 and the phone number is (717) 277-6565.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.