PEDIATRIC REHABILITATION ASSOCIATES, LLC
NPI 1558811372
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Marlton, NJ

NPI Status: Active since October 04, 2016

Contact Information

92 BRICK RD FL 3
MARLTON, NJ
ZIP 08053
Phone: (856) 489-4520

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pediatric Rehabilitation Medicine

About PEDIATRIC REHABILITATION ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Pediatric Rehabilitation Associates, Llc, a provider established in Marlton, New Jersey operating as a Physical Medicine & Rehabilitation, focusing in pediatric rehabilitation medicine . The healthcare provider is registered in the NPI registry with number 1558811372 assigned on October 2016. The practitioner's primary taxonomy code is 2081P0010X with license number 25MA06376400 (NJ). The provider is registered as an organization and their NPI record was last updated 9 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 Connie Domingo Md (President)

NPI
1558811372
Provider Name
PEDIATRIC REHABILITATION ASSOCIATES, LLC
Entity Type
Organization
Location Address
92 BRICK RD FL 3 MARLTON, NJ 08053
Location Phone
(856) 489-4520
Mailing Address
PO BOX 674 MARLTON, NJ 08053
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2016
Last Update Date
02-27-2017
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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

Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine

Taxonomy Code
2081P0010X
Type
Allopathic & Osteopathic Physicians
License No.
25MA06376400
License State
NJ
Taxonomy Description
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

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:

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

CONNIE DOMINGO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(609) 410-8055

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
1902896889OTHER (01)NPI

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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 1558811372, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 8 → 16 → 7 1 → 2 7 → 14 → 5

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 + 1 + 6 + 1 + 2 + 3 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1558811372.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558811372, enumerated as an "organization" on October 04, 2016.

The provider is located at 92 BRICK RD FL 3 MARLTON, NJ 08053 and the phone number is (856) 489-4520.

Physical Medicine & Rehabilitation with taxonomy code 2081P0010X and a focus in Pediatric Rehabilitation Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.