MEDAMERICA GROUP
NPI 1568617819
Clinic/Center in Ventnor City, NJ

NPI Status: Active since November 27, 2008

Contact Information

6309 VENTNOR AVE
VENTNOR CITY, NJ
ZIP 08406
Phone: (609) 823-0555
Fax: (609) 823-0330

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 31D1095130
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-02-2027

About MEDAMERICA GROUP

This page provides the complete NPI Profile along with additional information for Medamerica Group, a provider established in Ventnor City, New Jersey operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1568617819 assigned on November 2008. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Mark Peter Alexander M.d., M.b.a. (Medical Director)

NPI
1568617819
Provider Name
MEDAMERICA GROUP
Entity Type
Organization
Location Address
6309 VENTNOR AVE VENTNOR CITY, NJ 08406
Location Phone
(609) 823-0555
Location Fax
(609) 823-0330
Mailing Address
8602 FULTON AVE MARGATE CITY, NJ 08402
Mailing Phone
(609) 822-1604
Mailing Fax
(609) 823-0330
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2008
Last Update Date
02-06-2009
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

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. MARK PETER ALEXANDER M.D., M.B.A.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(913) 963-8535

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D1095130
Facility Type
Physician Office
Certificate Effective Date
February 03, 2025
Certificate Expiration Date
February 02, 2027
Laboratory Director
MARK P. ALEXANDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medamerica Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1568617819, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 2 + 1 + 1 + 4 + 8 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1568617819.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Urgent Care)
6309 VENTNOR AVE
VENTNOR CITY, NJ 08406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568617819, enumerated as an "organization" on November 27, 2008.

The provider is located at 6309 VENTNOR AVE VENTNOR CITY, NJ 08406 and the phone number is (609) 823-0555.

Clinic/Center with taxonomy code 261Q00000X.

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