MEDICAL DIAGNOSTIC ASSOCIATES, PA
NPI 1508128224
Non-Pharmacy Dispensing Site in Summit, NJ

NPI Status: Active since June 08, 2012

Contact Information

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901
Phone: (908) 608-1504
Fax: (908) 608-0078

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  • Organization
  • Non-Pharmacy Dispensing Site

About MEDICAL DIAGNOSTIC ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for Medical Diagnostic Associates, Pa, a provider established in Summit, New Jersey operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1508128224 assigned on June 2012. The practitioner's primary taxonomy code is 332900000X with license number 25MA06949800 (NJ). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Terry Dyer Cmpe (Practice Administrator)

NPI
1508128224
Provider Name
MEDICAL DIAGNOSTIC ASSOCIATES, PA
Entity Type
Organization
Location Address
99 BEAUVOIR AVE SUMMIT, NJ 07901
Location Phone
(908) 608-1504
Location Fax
(908) 608-0078
Mailing Address
77 BRANT AVE SUITE 200 CLARK, NJ 07066
Mailing Phone
(732) 382-0091
Mailing Fax
(908) 608-0078
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2012
Last Update Date
06-12-2012
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
25MA06949800
License State
NJ
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

TERRY DYER CMPE

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(732) 382-0091

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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.
1508128224
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508221624
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 2 + 2 + 1 + 6 + 2 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1508128224 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. DENNIS LOWENTHAL MD

Internal Medicine

(Medical Oncology)

99 BEAUVOIR AVE
THE CANCER CENTER AT OVERLOOK
SUMMIT, NJ
ZIP 07901

(908) 608-0078

DR. DANIEL MORIARTY MD

Internal Medicine

(Medical Oncology)

99 BEAUVOIR AVE
THE CANCER CENTER AT OVERLOOK
SUMMIT, NJ
ZIP 07901

(908) 608-0078

DR. NEIL MORGANSTEIN MD

Internal Medicine

(Hematology & Oncology)

99 BEAUVOIR AVE
THE CANCER CENTER AT OVERLOOK
SUMMIT, NJ
ZIP 07901

(908) 608-0078

RAJYASHREE ANJUTGI M.D.

Anesthesiology

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 598-1500

ROGELIO CHENG CRNA

Nurse Anesthetist, Certified Registered

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 598-1500

KERRY BERGMAN MD

Surgery

(Pediatric Surgery)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-7185

GARY DRAKE LCSW

Social Worker

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-5595

NABIL JACIR MD

Surgery

(Pediatric Surgery)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 522-3523

JOHN LYNCH LCSW

Social Worker

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-2857

ERIC LAZAR MD

Surgery

(Pediatric Surgery)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-5595

CHARLES ROLAND LCSW

Social Worker

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-3586

JOHN WEAGLEY LCSW,LCADC

Social Worker

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-5595

ROZANA RAB ALAM MD

Psychiatry & Neurology

(Psychiatry)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-4800

PRAMOD GOODLUCK MD

Internal Medicine

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(973) 971-7185

ENRICO MIGUELINO MD

Anesthesiology

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 598-1500

YUAN HU MD

Anesthesiology

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 598-1500

FATIMAH TAHIL MD

Psychiatry & Neurology

(Psychiatry)

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-5691

DR. ALLAN LEE GARDNER MD

Neurological Surgery

99 BEAUVOIR AVE
SUITE 405
SUMMIT, NJ
ZIP 07901

(973) 723-8436

VINEESH BHATNAGAR MD

Internal Medicine

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 964-8010

JAMES D. BILENKER MD

Emergency Medicine

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901

(908) 522-2232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508128224, enumerated as an "organization" on June 08, 2012.

The provider is located at 99 BEAUVOIR AVE SUMMIT, NJ 07901 and the phone number is (908) 608-1504.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.