DR. WANDA Y QUEZADA ED. D
NPI 1528448321
Counselor - Professional in New Brunswick, NJ

NPI Status: Active since June 05, 2015

Contact Information

322 LIVINGSTON AVE
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 202-5406
Fax: (732) 543-0602

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  • Individual
  • Female
  • Counselor
  • Professional
  • Accepts Insurance
  • PECOS Enrolled

About WANDA QUEZADA

This page provides the complete NPI Profile along with additional information for Wanda Quezada, a provider established in New Brunswick, New Jersey with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1528448321 assigned on June 2015. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1528448321
Provider Name
DR. WANDA Y QUEZADA ED. D
Gender
Female
Entity Type
Individual
Location Address
322 LIVINGSTON AVE NEW BRUNSWICK, NJ 08901
Location Phone
(732) 202-5406
Location Fax
(732) 543-0602
Mailing Address
335 GEORGE STREET SUITE 4 #307 NEW BRUNSWICK, NJ 08901
Mailing Phone
(908) 358-5068
Mailing Fax
(732) 543-0602
Is Sole Proprietor?
No
Enumeration Date
06-05-2015
Last Update Date
02-07-2024
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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

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

(NJ)
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

(NJ)
3101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

(NJ)
4101YS0200XBehavioral Health & Social Service Providers

Counselor
School

(NJ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO

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.

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
937923OTHER (01)NJBCBSNJ
LPCC15042OTHER (01)CALPCC
PC015328OTHER (01)PALPC
TPMC3811OTHER (01)FLLMHC
601288646OTHER (01)NJUNITED HEALTHCARE

Medicare Participation & PECOS Enrollment Status

Wanda Quezada 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 and Durable Medical Equipment (DME).

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): No

  • Eligible to Order or Refer Power Mobility Devices: No

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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 1528448321, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 2 → 4 4 → 8 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 4 + 8 + 8 + 4 + 1 + 6 + 3 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1528448321.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
322 LIVINGSTON AVE
NEW BRUNSWICK, NJ 08901
Dentist
322 LIVINGSTON AVE
NEW BRUNSWICK, NJ 08901
Community/Behavioral Health
322 LIVINGSTON AVE
NEW BRUNSWICK, NJ 08901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528448321, enumerated as an "individual" on June 05, 2015.

The provider is located at 322 LIVINGSTON AVE NEW BRUNSWICK, NJ 08901 and the phone number is (732) 202-5406.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida,. Please consult your insurance carrier or call the provider to verify.