DIABETES ASSOCIATES P C
NPI 1558441923
Specialist in Belleville, NJ

NPI Status: Active since October 17, 2006

Contact Information

5 FRANKLIN AVE
#609
BELLEVILLE, NJ
ZIP 07109
Phone: (973) 759-1111
Fax: (973) 759-0894

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  • Organization
  • Specialist
  • Accepts Insurance

About DIABETES ASSOCIATES P C

This page provides the complete NPI Profile along with additional information for Diabetes Associates P C, a provider established in Belleville, New Jersey operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1558441923 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X with license number 25MA06283700 (NJ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Rama R Reddy Md (President)

NPI
1558441923
Provider Name
DIABETES ASSOCIATES P C
Entity Type
Organization
Location Address
5 FRANKLIN AVE #609 BELLEVILLE, NJ 07109
Location Phone
(973) 759-1111
Location Fax
(973) 759-0894
Mailing Address
5 FRANKLIN AVE #609 BELLEVILLE, NJ 07109
Mailing Phone
(973) 759-1111
Mailing Fax
(973) 759-0894
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2006
Last Update Date
10-11-2012
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
25MA06283700
License State
NJ
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

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.

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

DR. RAMA R REDDY MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(973) 759-1111

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
G21262MEDICARE UPIN (02)NJ 
065533MEDICARE ID-TYPE UNSPECIFIED (04)NJ 
6950400MEDICAID (05)NJ 

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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 1558441923, 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 5 → 10 → 1 4 → 8 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 8 + 4 + 2 + 9 + 4 + 24 = 67

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.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1558441923.

Other Providers at the Same Location


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

Ophthalmology
5 FRANKLIN AVE, SUITE 209
BELLEVILLE, NJ 07109
Specialist
5 FRANKLIN AVE, SUITE 403
BELLEVILLE, NJ 07109
Internal Medicine
5 FRANKLIN AVE, STE 410
BELLEVILLE, NJ 07109
Internal Medicine (Nephrology)
5 FRANKLIN AVE, SUITE 401
BELLEVILLE, NJ 07109
Internal Medicine
5 FRANKLIN AVE, SUITE 609
BELLEVILLE, NJ 07109
Internal Medicine
5 FRANKLIN AVE, SUITE 609
BELLEVILLE, NJ 07109
Specialist
5 FRANKLIN AVE, #609
BELLEVILLE, NJ 07109
Obstetrics & Gynecology
5 FRANKLIN AVE, SUITE # 310
BELLEVILLE, NJ 07109
Surgery
5 FRANKLIN AVE, SUITE 406
BELLEVILLE, NJ 07109
Surgery
5 FRANKLIN AVE, SUITE 406
BELLEVILLE, NJ 07109
Surgery
5 FRANKLIN AVE, SUITE 406
BELLEVILLE, NJ 07109
Nurse Anesthetist, Certified Registered
5 FRANKLIN AVE, SUITE 209
BELLEVILLE, NJ 07109
Physician Assistant
5 FRANKLIN AVE, SUITE 401
BELLEVILLE, NJ 07109
Pain Medicine (Interventional Pain Medicine)
5 FRANKLIN AVE, SUITE 110
BELLEVILLE, NJ 07109
Clinic/Center (Medical Specialty)
5 FRANKLIN AVE, SUITE 404
BELLEVILLE, NJ 07109
Otolaryngology
5 FRANKLIN AVE, #305
BELLEVILLE, NJ 07109
Surgery
5 FRANKLIN AVE, SUITE 406
BELLEVILLE, NJ 07109
Dentist
5 FRANKLIN AVE, SUITE 108
BELLEVILLE, NJ 07109
Dentist
5 FRANKLIN AVE, SUITE 108
BELLEVILLE, NJ 07109
Specialist
5 FRANKLIN AVE, SUITE 109
BELLEVILLE, NJ 07109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558441923, enumerated as an "organization" on October 17, 2006.

The provider is located at 5 FRANKLIN AVE #609 BELLEVILLE, NJ 07109 and the phone number is (973) 759-1111.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.