SPORTS EXTRA PC
NPI 1346296969
Family Medicine - Sports Medicine in Clark, NJ

NPI Status: Active since May 25, 2006

Contact Information

67 WALNUT AVE
SUITE 202
CLARK, NJ
ZIP 07066
Phone: (732) 388-7300
Fax: (732) 388-1330

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  • Organization
  • Family Medicine
  • Sports Medicine

About SPORTS EXTRA PC

This page provides the complete NPI Profile along with additional information for Sports Extra Pc, a primary care provider established in Clark, New Jersey operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1346296969 assigned on May 2006. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 19 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 Michele Theresa Gilsenan D.o. (Practice Owner)

NPI
1346296969
Provider Name
SPORTS EXTRA PC
Entity Type
Organization
Location Address
67 WALNUT AVE SUITE 202 CLARK, NJ 07066
Location Phone
(732) 388-7300
Location Fax
(732) 388-1330
Mailing Address
67 WALNUT AVE SUITE 202 CLARK, NJ 07066
Mailing Phone
(732) 388-7300
Mailing Fax
(732) 388-1330
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2006
Last Update Date
10-18-2007
Code Navigator

A primary care provider (PCP) like Sports Extra Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

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.

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.

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

MICHELE THERESA GILSENAN D.O.

Authorized Official Title
PRACTICE OWNER
Authorized Official Phone
(732) 388-7300

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
091807MEDICARE PIN (08)NJ 

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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 1346296969, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 4 + 9 + 1 + 2 + 9 + 1 + 2 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1346296969.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Family Medicine
67 WALNUT AVE, SUITE 202
CLARK, NJ 07066
Family Medicine (Geriatric Medicine)
67 WALNUT AVE
CLARK, NJ 07066
Community/Behavioral Health
67 WALNUT AVE, SUITE 306
CLARK, NJ 07066
Community/Behavioral Health
67 WALNUT AVE, SUITE 306
CLARK, NJ 07066
Ophthalmology
67 WALNUT AVE, SUITE 302
CLARK, NJ 07066
Family Medicine
67 WALNUT AVE, SUITE 202
CLARK, NJ 07066
Internal Medicine (Sports Medicine)
67 WALNUT AVE, SUITE 202
CLARK, NJ 07066
Hearing Instrument Specialist
67 WALNUT AVE, SUITE 303
CLARK, NJ 07066
Internal Medicine (Endocrinology, Diabetes & Metabolism)
67 WALNUT AVE
CLARK, NJ 07066
Family Medicine (Sports Medicine)
67 WALNUT AVE
CLARK, NJ 07066
Family Medicine (Sports Medicine)
67 WALNUT AVE
CLARK, NJ 07066
Behavior Analyst
67 WALNUT AVE, SUITE 105
CLARK, NJ 07066
Internal Medicine (Endocrinology, Diabetes & Metabolism)
67 WALNUT AVE
CLARK, NJ 07066
Durable Medical Equipment & Medical Supplies
67 WALNUT AVE
CLARK, NJ 07066
Internal Medicine (Endocrinology, Diabetes & Metabolism)
67 WALNUT AVE
CLARK, NJ 07066
Physician Assistant (Medical)
67 WALNUT AVE
CLARK, NJ 07066
Family Medicine
67 WALNUT AVE
CLARK, NJ 07066
Family Medicine
67 WALNUT AVE
CLARK, NJ 07066
Counselor (Mental Health)
67 WALNUT AVE
CLARK, NJ 07066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346296969, enumerated as an "organization" on May 25, 2006.

The provider is located at 67 WALNUT AVE SUITE 202 CLARK, NJ 07066 and the phone number is (732) 388-7300.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.

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