PRO FORM SPORTS MEDICINE AND WELLNESS ASSOCIATES
NPI 1235432972
Emergency Medicine - Sports Medicine in Rutherford, NJ

NPI Status: Active since December 20, 2010

Contact Information

201 ROUTE 17
11TH FLOOR
RUTHERFORD, NJ
ZIP 07070
Phone: (201) 549-8846
Fax: (201) 549-8839

Get Directions Write a Review

  • Organization
  • Emergency Medicine
  • Sports Medicine

About PRO FORM SPORTS MEDICINE AND WELLNESS ASSOCIATES

This page provides the complete NPI Profile along with additional information for Pro Form Sports Medicine And Wellness Associates, a provider established in Rutherford, New Jersey operating as a Emergency Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1235432972 assigned on December 2010. The practitioner's primary taxonomy code is 207PS0010X with license number 25MA08835000 (NJ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Tae Keun Park Md (Partner)

NPI
1235432972
Provider Name
PRO FORM SPORTS MEDICINE AND WELLNESS ASSOCIATES
Entity Type
Organization
Location Address
201 ROUTE 17 11TH FLOOR RUTHERFORD, NJ 07070
Location Phone
(201) 549-8846
Location Fax
(201) 549-8839
Mailing Address
201 ROUTE 17 11TH FLOOR RUTHERFORD, NJ 07070
Mailing Phone
(201) 549-8846
Mailing Fax
(201) 549-8839
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2010
Last Update Date
12-20-2010
Code Navigator

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

Emergency Medicine Sports Medicine

Taxonomy Code
207PS0010X
Type
Allopathic & Osteopathic Physicians
License No.
25MA08835000
License State
NJ
Taxonomy Description
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

DR. TAE KEUN PARK MD

Authorized Official Title
PARTNER
Authorized Official Phone
(646) 489-5640

Reviews for PRO FORM SPORTS MEDICINE AND WELLNESS ASSOCIATES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1235432972, 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
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
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 3 → 6 4 → 8 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 + 6 + 5 + 8 + 3 + 4 + 9 + 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 1235432972.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Dentist (Prosthodontics)
201 ROUTE 17, 11TH FLOOR
RUTHERFORD, NJ 07070
Dentist (Oral and Maxillofacial Surgery)
201 ROUTE 17, 11TH FLOOR
RUTHERFORD, NJ 07070
Plastic Surgery (Surgery of the Hand)
201 ROUTE 17, 11TH FLOOR, ROOM 11056
RUTHERFORD, NJ 07070
Clinic/Center (Health Service)
201 ROUTE 17
RUTHERFORD, NJ 07070
Podiatrist (Foot & Ankle Surgery)
201 ROUTE 17, 11TH FLOOR
RUTHERFORD, NJ 07070
Internal Medicine
201 ROUTE 17
RUTHERFORD, NJ 07070
Plastic Surgery (Surgery of the Hand)
201 ROUTE 17, 11TH FLOOR, ROOM 11056
RUTHERFORD, NJ 07070
Dentist (General Practice)
201 ROUTE 17, 12TH FLOOR
RUTHERFORD, NJ 07070
Clinic/Center (Ambulatory Surgical)
201 ROUTE 17, 12TH FLOOR
RUTHERFORD, NJ 07070
Anesthesiology
201 ROUTE 17, 12TH FLOOR
RUTHERFORD, NJ 07070
Dentist (Prosthodontics)
201 ROUTE 17
RUTHERFORD, NJ 07070
Neurological Surgery
201 ROUTE 17, 5TH FLOOR
RUTHERFORD, NJ 07070
Orthopaedic Surgery
201 ROUTE 17
RUTHERFORD, NJ 07070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235432972, enumerated as an "organization" on December 20, 2010.

The provider is located at 201 ROUTE 17 11TH FLOOR RUTHERFORD, NJ 07070 and the phone number is (201) 549-8846.

Emergency Medicine with taxonomy code 207PS0010X and a focus in Sports Medicine.