KALEIDOSCOPE MEDICAL ASSOCIATES, PA
NPI 1356377105
Family Medicine in Phillipsburg, NJ

NPI Status: Active since June 23, 2006

Contact Information

410 COVENTRY DR
PHILLIPSBURG, NJ
ZIP 08865
Phone: (908) 454-9902
Fax: (908) 454-9905

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  • Organization
  • Family Medicine

About KALEIDOSCOPE MEDICAL ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for Kaleidoscope Medical Associates, Pa, a primary care provider established in Phillipsburg, New Jersey operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1356377105 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MB064321 (NJ). The provider is registered as an organization and their NPI record was last updated 18 years ago. Kaleidoscope Medical Associates, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Ana P Gomes D.o., Cmd (President)

NPI
1356377105
Provider Name
KALEIDOSCOPE MEDICAL ASSOCIATES, PA
Entity Type
Organization
Location Address
410 COVENTRY DR PHILLIPSBURG, NJ 08865
Location Phone
(908) 454-9902
Location Fax
(908) 454-9905
Mailing Address
410 COVENTRY CENTRE DR. PHILLIPSBURG, NJ 08865
Mailing Phone
(908) 454-9902
Mailing Fax
(908) 454-9905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2006
Last Update Date
02-08-2008
Code Navigator

A primary care provider (PCP) like Kaleidoscope Medical Associates, Pa 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

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MB064321
License State
NJ
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

25MA06829400 (NJ)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

25MB077888000 (NJ)
3207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

MB065920 (NJ)
4363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

NN095449NJ (NJ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

DR. ANA P GOMES D.O., CMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(908) 454-9902

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
119772OTHER (01)PAMEDICARE PA
G60187MEDICARE UPIN (02)NJ 
080924MEDICARE ID-TYPE UNSPECIFIED (04)PACECILIA RAI
8440506MEDICAID (05)NJ 
046084MEDICARE ID-TYPE UNSPECIFIED (04)NJKELLY HUDOCK
G54773MEDICARE UPIN (02)NJ 
P26362MEDICARE UPIN (02)NJ 
H23044MEDICARE UPIN (02)NJ 
901263MEDICARE ID-TYPE UNSPECIFIED (04)NJTHADDEUS AVERSA
8313407MEDICAID (05)NJ 
7437307MEDICAID (05)NJ 
7387601MEDICAID (05)NJ 
002345MEDICARE ID-TYPE UNSPECIFIED (04)NJANA GOMES
I10426MEDICARE UPIN (02)NJ 
041113OTHER (01)NJMEDICARE NJ
085119MEDICARE ID-TYPE UNSPECIFIED (04)NJCECILIA RAI
0057908MEDICAID (05)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 1356377105, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 5 → 10 → 1 3 → 6 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 6 + 7 + 1 + 4 + 1 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1356377105.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
410 COVENTRY DR
PHILLIPSBURG, NJ 08865
Nurse Practitioner
410 COVENTRY DR
PHILLIPSBURG, NJ 08865

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356377105, enumerated as an "organization" on June 23, 2006.

The provider is located at 410 COVENTRY DR PHILLIPSBURG, NJ 08865 and the phone number is (908) 454-9902.

Family Medicine with taxonomy code 207Q00000X.

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