THE WELLNESS CENTER OPERATED BY PREMISE HEALTH
NPI 1245759547
Clinic/Center in Moorestown, NJ
NPI Status: Active since September 18, 2017
Contact Information
199 BORTONS LANDING RD
MOORESTOWN, NJ
ZIP 08057
Phone: (856) 722-3666
Fax: (856) 722-6006
- Organization
- Clinic/Center
- CLIA Number: 31D0874260
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-04-2025
About THE WELLNESS CENTER OPERATED BY PREMISE HEALTH
This page provides the complete NPI Profile along with additional information for The Wellness Center Operated By Premise Health, a provider established in Moorestown, New Jersey operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245759547 assigned on September 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as The Wellness Center Operated By Premise Health. The authorized official of this NPI record is Dr. Jon Leizman Md (President)
- NPI
- 1245759547
- Provider Legal Name
- PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C
- Other Organization Name
- THE WELLNESS CENTER OPERATED BY PREMISE HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 199 BORTONS LANDING RD MOORESTOWN, NJ 08057
- Location Phone
- (856) 722-3666
- Location Fax
- (856) 722-6006
- Mailing Address
- 5500 MARYLAND WAY STE 400 BRENTWOOD, TN 37027
- Mailing Phone
- (844) 407-7557
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-18-2017
- Last Update Date
- 08-23-2022
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 31D0874260
- Facility Type
- Physician Office
- Certificate Effective Date
- August 05, 2023
- Certificate Expiration Date
- August 04, 2025
- Laboratory Director
- MICHAEL MAKOWSKY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Wellness Center Operated By Premise Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 7 | 5 | 9 | 5 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 5 | 18 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 5 + 1 + 8 + 5 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1245759547 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245759547, enumerated as an "organization" on September 18, 2017.
The provider is located at 199 BORTONS LANDING RD MOORESTOWN, NJ 08057 and the phone number is (856) 722-3666.
Clinic/Center with taxonomy code 261Q00000X.
