DANIEL B. HORTON MD, MSCE
NPI 1528224193
Pediatrics - Pediatric Rheumatology in New Brunswick, NJ
NPI Status: Active since August 04, 2008
Contact Information
89 FRENCH ST
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 235-4980
Fax: (732) 235-5002
- Individual
- Male
- Pediatrics
- Pediatric Rheumatology
- Accepts Insurance
- PECOS Enrolled
About DANIEL HORTON
This page provides the complete NPI Profile along with additional information for Daniel Horton, a pediatrician established in New Brunswick, New Jersey with a medical specialization in Pediatrics, focusing in pediatric rheumatology . The healthcare provider is registered in the NPI registry with number 1528224193 assigned on August 2008. The practitioner's primary taxonomy code is 2080P0216X with license number 25MA09880700 (NJ). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1528224193
- Provider Name
- DANIEL B. HORTON MD, MSCE
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 89 FRENCH ST NEW BRUNSWICK, NJ 08901
- Location Phone
- (732) 235-4980
- Location Fax
- (732) 235-5002
- Mailing Address
- 89 FRENCH ST NEW BRUNSWICK, NJ 08901
- Mailing Phone
- (732) 235-4980
- Mailing Fax
- (732) 235-5002
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-04-2008
- Last Update Date
- 05-31-2016
- Code Navigator
A pediatrician like Daniel Horton 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 Pediatric Rheumatology
- Taxonomy Code
- 2080P0216X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA09880700
- License State
- NJ
- Taxonomy Description
- A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
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) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | C10004871 (DE) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MT193017 (PA) |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 25MA09880700 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Daniel Horton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DANIEL B. HORTON MD, MSCE
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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 1528224193, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528224193, enumerated as an "individual" on August 04, 2008.
The provider is located at 89 FRENCH ST NEW BRUNSWICK, NJ 08901 and the phone number is (732) 235-4980.
Pediatrics with taxonomy code 2080P0216X and a focus in Pediatric Rheumatology.
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.
