CENTER FOR PEDIATRICS ADOLESCENT AND ADULT MEDICINE OF SNJ PA
NPI 1467508796
Pediatrics in Marlton, NJ
NPI Status: Active since January 27, 2007
Contact Information
12000 LINCOLN DR W
SUITE 311
MARLTON, NJ
ZIP 08053
Phone: (856) 985-8100
Fax: (856) 985-8374
- Organization
- Pediatrics
- CLIA Number: 31D0996699
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-24-2026
About CENTER FOR PEDIATRICS ADOLESCENT AND ADULT MEDICINE OF SNJ PA
This page provides the complete NPI Profile along with additional information for Center For Pediatrics Adolescent And Adult Medicine Of Snj Pa, a pediatrician established in Marlton, New Jersey operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1467508796 assigned on January 2007. The practitioner's primary taxonomy code is 208000000X with license number 25MA05186900 (NJ). The provider is registered as an organization and their NPI record was last updated 6 years ago. Center For Pediatrics Adolescent And Adult Medicine Of Snj 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. Jay Mirmanesh Md (President)
- NPI
- 1467508796
- Provider Name
- CENTER FOR PEDIATRICS ADOLESCENT AND ADULT MEDICINE OF SNJ PA
- Entity Type
- Organization
- Location Address
- 12000 LINCOLN DR W SUITE 311 MARLTON, NJ 08053
- Location Phone
- (856) 985-8100
- Location Fax
- (856) 985-8374
- Mailing Address
- 12000 LINCOLN DR W STE 311 MARLTON, NJ 08053
- Mailing Phone
- (856) 985-8100
- Mailing Fax
- (856) 985-8374
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Center For Pediatrics Adolescent And Adult Medicine Of Snj Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA05186900
- License State
- NJ
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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.
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
- 31D0996699
- Facility Type
- Physician Office
- Certificate Effective Date
- February 25, 2024
- Certificate Expiration Date
- February 24, 2026
- Laboratory Director
- S MICHAEL MIRMANESH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Center For Pediatrics Adolescent And Adult Medicine Of Snj Pa 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.
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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 1467508796, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
MARLTON, NJ 08053
MARLTON, NJ 08053
MARLTON, NJ 08053
MARLTON, NJ 08053
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467508796, enumerated as an "organization" on January 27, 2007.
The provider is located at 12000 LINCOLN DR W SUITE 311 MARLTON, NJ 08053 and the phone number is (856) 985-8100.
Pediatrics with taxonomy code 208000000X.
