JESSICA BLOOMGARDEN MD PA
NPI 1558877068
Clinic/Center - Medical Specialty in Sunrise, FL

NPI Status: Active since December 19, 2017

Contact Information

4399 N NOB HILL RD
SUNRISE, FL
ZIP 33351
Phone: (954) 746-1505

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  • Organization
  • Clinic/Center
  • Medical Specialty

About JESSICA BLOOMGARDEN MD PA

This page provides the complete NPI Profile along with additional information for Jessica Bloomgarden Md Pa, a provider established in Sunrise, Florida operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1558877068 assigned on December 2017. The practitioner's primary taxonomy code is 261QM2500X with license number ME116270 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Jessica Bloomgarden Md (President)

NPI
1558877068
Provider Name
JESSICA BLOOMGARDEN MD PA
Entity Type
Organization
Location Address
4399 N NOB HILL RD SUNRISE, FL 33351
Location Phone
(954) 746-1505
Mailing Address
109 MONTCLAIRE DR WESTON, FL 33326
Mailing Phone
(646) 265-9264
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2017
Last Update Date
12-19-2017
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
ME116270
License State
FL
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

DR. JESSICA BLOOMGARDEN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(646) 265-9264

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
1013158427MEDICAID (05)FL 

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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 1558877068, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 7 → 14 → 5 6 → 12 → 3

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 + 7 + 1 + 4 + 0 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1558877068.

Other Providers at the Same Location


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

Specialist
4399 N NOB HILL RD
SUNRISE, FL 33351
Specialist
4399 N NOB HILL RD
SUNRISE, FL 33351
Clinical Neuropsychologist
4399 N NOB HILL RD
SUNRISE, FL 33351
Psychologist
4399 N NOB HILL RD
SUNRISE, FL 33351
Psychologist (Counseling)
4399 N NOB HILL RD
SUNRISE, FL 33351
Physical Medicine & Rehabilitation
4399 N NOB HILL RD
SUNRISE, FL 33351
Clinical Neuropsychologist
4399 N NOB HILL RD, C/O DR. SANTANA AND ASSOCIATES
SUNRISE, FL 33351
Physical Medicine & Rehabilitation
4399 N NOB HILL RD
SUNRISE, FL 33351
Psychologist
4399 N NOB HILL RD
SUNRISE, FL 33351
Speech-Language Pathologist
4399 N NOB HILL RD
SUNRISE, FL 33351
Social Worker (Clinical)
4399 N NOB HILL RD
SUNRISE, FL 33351
Dietitian, Registered
4399 N NOB HILL RD
SUNRISE, FL 33351
Surgery
4399 N NOB HILL RD
SUNRISE, FL 33351
Nurse Practitioner
4399 N NOB HILL RD
SUNRISE, FL 33351
Family Medicine (Geriatric Medicine)
4399 N NOB HILL RD
SUNRISE, FL 33351
Family Medicine (Geriatric Medicine)
4399 N NOB HILL RD
SUNRISE, FL 33351
Family Medicine
4399 N NOB HILL RD
SUNRISE, FL 33351
Rehabilitation Hospital
4399 N NOB HILL RD
SUNRISE, FL 33351
Physical Medicine & Rehabilitation
4399 N NOB HILL RD
SUNRISE, FL 33351
Nurse Practitioner (Family)
4399 N NOB HILL RD
SUNRISE, FL 33351

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558877068, enumerated as an "organization" on December 19, 2017.

The provider is located at 4399 N NOB HILL RD SUNRISE, FL 33351 and the phone number is (954) 746-1505.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

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