THE ARC OF HUNTERDON COUNTY
NPI 1437876695
Exclusive Provider Organization in Flemington, NJ
NPI Status: Active since October 27, 2022
Contact Information
6 PINEWOOD CT
FLEMINGTON, NJ
ZIP 08822
Phone: (908) 730-7827
- Organization
- Exclusive Provider Organization
About THE ARC OF HUNTERDON COUNTY
This page provides the complete NPI Profile along with additional information for The Arc Of Hunterdon County, a provider established in Flemington, New Jersey operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1437876695 assigned on October 2022. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jennifer Long- Holdorff (Director Of Medicaid)
- NPI
- 1437876695
- Provider Name
- THE ARC OF HUNTERDON COUNTY
- Entity Type
- Organization
- Location Address
- 6 PINEWOOD CT FLEMINGTON, NJ 08822
- Location Phone
- (908) 730-7827
- Mailing Address
- 53 FRONTAGE RD HAMPTON, NJ 08827
- Mailing Phone
- (908) 730-7827
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-27-2022
- Last Update Date
- 10-27-2022
- 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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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 |
|---|---|---|---|
| 0478059 | MEDICAID (05) | NJ |
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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 | 4 | 3 | 7 | 8 | 7 | 6 | 6 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 16 | 7 | 12 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 1 + 6 + 7 + 1 + 2 + 6 + 1 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1437876695 is valid because the calculated check digit 5 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 1437876695, enumerated as an "organization" on October 27, 2022.
The provider is located at 6 PINEWOOD CT FLEMINGTON, NJ 08822 and the phone number is (908) 730-7827.
Exclusive Provider Organization with taxonomy code 302F00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
