DR. KENNETH A LAUGHINGHOUSE M.D.
NPI 1295720563
Specialist in Little Silver, NJ

NPI Status: Active since September 13, 2005

Contact Information

180 WHITE RD
SUITE 101
LITTLE SILVER, NJ
ZIP 07739
Phone: (732) 530-8666
Fax: (732) 530-7911

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  • Individual
  • Male
  • Specialist
  • PECOS Enrolled

About KENNETH LAUGHINGHOUSE

This page provides the complete NPI Profile along with additional information for Kenneth Laughinghouse, a provider established in Little Silver, New Jersey with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1295720563 assigned on September 2005. The practitioner's primary taxonomy code is 174400000X with license number 25MA06564400 (NJ). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1295720563
Provider Name
DR. KENNETH A LAUGHINGHOUSE M.D.
Gender
Male
Entity Type
Individual
Location Address
180 WHITE RD SUITE 101 LITTLE SILVER, NJ 07739
Location Phone
(732) 530-8666
Location Fax
(732) 530-7911
Mailing Address
180 WHITE RD SUITE 101 LITTLE SILVER, NJ 07739
Mailing Phone
(732) 530-8666
Mailing Fax
(732) 530-7911
Is Sole Proprietor?
Yes
Enumeration Date
09-13-2005
Last Update Date
07-08-2007
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
25MA06564400
License State
NJ
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
7381701MEDICAID (05)NJ 
000206MEDICARE ID-TYPE UNSPECIFIED (04)NJ 
G57104MEDICARE UPIN (02)NJ 

Medicare Participation & PECOS Enrollment Status

Kenneth Laughinghouse is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) (HCPCS:A4221)

    2 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) (HCPCS:A4222)

    2 DME suppliers used 12 Medicare Claims 12 Services Paid

Unknown

  • Treatment-Chemotherapy (RH002N)

    Injection, fluorouracil, 500 mg (HCPCS:J9190)

    2 DME suppliers used 13 Medicare Claims 130 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of chemotherapy into vein, 1 hour or less

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

This service was performed 44 times for 16 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

This service was performed 340 times for 168 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 89 times for 70 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 156 times for 96 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 63 times for 45 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 54 times for 30 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

This service was performed 46 times for 17 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

This service was performed 78 times for 14 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 32 times for 30 patients

Injection of additional new drug or substance into vein

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

This service was performed 31 times for 11 patients

Injection of drug or substance under skin or into muscle

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

This service was performed 41 times for 12 patients

Injection, diphenhydramine hcl, up to 50 mg

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

This service was performed 40 times for 14 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 250 times for 149 patients

Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a

The Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) payment, denoted by G9678, is a compensation method for OCM practitioners. These payments are specifically for providing additional, or "enhanced", services to OCM beneficiaries, as outlined in the OCM participation agreement.

This service was performed 81 times for 32 patients

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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 1295720563, 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 9 → 18 → 9 7 → 14 → 5 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 1 + 4 + 2 + 0 + 5 + 1 + 2 + 24 = 57

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.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1295720563.

Other Providers at the Same Location


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

Internal Medicine
180 WHITE RD, SUITE 211
LITTLE SILVER, NJ 07739
Specialist
180 WHITE RD, SUITE 101
LITTLE SILVER, NJ 07739
Specialist
180 WHITE RD, SUITE 101
LITTLE SILVER, NJ 07739
Obstetrics & Gynecology
180 WHITE RD, SUITE 209
LITTLE SILVER, NJ 07739
Specialist
180 WHITE RD, SUITE 104
LITTLE SILVER, NJ 07739
Dermatology (Procedural Dermatology)
180 WHITE RD, SUITE 103
LITTLE SILVER, NJ 07739
Podiatrist
180 WHITE RD, SUITE 105
LITTLE SILVER, NJ 07739
Chiropractor
180 WHITE RD, SUITE 201
LITTLE SILVER, NJ 07739
Chiropractor
180 WHITE RD, SUITE 201
LITTLE SILVER, NJ 07739
Chiropractor
180 WHITE RD, SUITE 201
LITTLE SILVER, NJ 07739
Podiatrist
180 WHITE RD, SUITE 105
LITTLE SILVER, NJ 07739
Psychiatry & Neurology (Psychiatry)
180 WHITE RD
LITTLE SILVER, NJ 07739
Pediatrics
180 WHITE RD, SUITE 205
LITTLE SILVER, NJ 07739
Internal Medicine
180 WHITE RD, SUITE 211
LITTLE SILVER, NJ 07739
Podiatrist
180 WHITE RD, SUITE 105
LITTLE SILVER, NJ 07739
Specialist
180 WHITE RD, SUITE 104
LITTLE SILVER, NJ 07739
Chiropractor
180 WHITE RD, SUITE 206
LITTLE SILVER, NJ 07739
Chiropractor
180 WHITE RD, SUITE 201
LITTLE SILVER, NJ 07739
Surgery (Plastic and Reconstructive Surgery)
180 WHITE RD, SUITE 102
LITTLE SILVER, NJ 07739
Internal Medicine
180 WHITE RD, SUITE 205
LITTLE SILVER, NJ 07739

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295720563, enumerated as an "individual" on September 13, 2005.

The provider is located at 180 WHITE RD SUITE 101 LITTLE SILVER, NJ 07739 and the phone number is (732) 530-8666.

Specialist with taxonomy code 174400000X.

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