HAWTHORNE PEDIATRICS, LLC
NPI 1336525260
Clinic/Center in Hawthorne, NJ
NPI Status: Active since August 03, 2015
Contact Information
330 LAFAYETTE AVE
HAWTHORNE, NJ
ZIP 07506
Phone: (973) 841-5112
Fax: (973) 826-5064
- Organization
- Clinic/Center
- CLIA Number: 31D2111044
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 03-29-2026
About HAWTHORNE PEDIATRICS, LLC
Hawthorne Pediatrics, Llc is a provider established in Hawthorne, New Jersey operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1336525260 assigned on August 2015. The practitioner's primary taxonomy code is 261Q00000X with license number 25MA09694700 (NJ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Maria Jose Vasena Marengo M.d. (Owner)
- NPI
- 1336525260
- Provider Name
- HAWTHORNE PEDIATRICS, LLC
- Entity Type
- Organization
- Location Address
- 330 LAFAYETTE AVE HAWTHORNE, NJ 07506
- Location Phone
- (973) 841-5112
- Location Fax
- (973) 826-5064
- Mailing Address
- 330 LAFAYETTE AVE HAWTHORNE, NJ 07506
- Mailing Phone
- (973) 841-5112
- Mailing Fax
- (973) 826-5064
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-03-2015
- Last Update Date
- 08-05-2015
- Code Navigator
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
- License No.
- 25MA09694700
- License State
- NJ
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter Health of Delaware
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Everyday Silver - EPO
- Everyday Silver + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 31D2111044
- Facility Type
- Physician Office
- Certificate Effective Date
- March 30, 2024
- Certificate Expiration Date
- March 29, 2026
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hawthorne Pediatrics, Llc 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.
Reviews for HAWTHORNE PEDIATRICS, LLC
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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 | 3 | 3 | 6 | 5 | 2 | 5 | 2 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 10 | 2 | 10 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 0 + 2 + 1 + 0 + 2 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336525260 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417201021 | DR. MARIA JOSE VASENA MARENGO #39 Individual | Pediatrics | 330 LAFAYETTE AVE HAWTHORNE, NJ 07506 (973) 841-5112 |
| 1023205135 | CLAUDIA KIM MD Individual | Pediatrics | 330 LAFAYETTE AVE HAWTHORNE, NJ 07506 (973) 841-5112 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336525260, enumerated in the NPI registry as an "organization" on August 03, 2015
The provider is located at 330 Lafayette Ave Hawthorne, Nj 07506 and the phone number is (973) 841-5112
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 31D2111044 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on August 03, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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