MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC
NPI 1578511010
Nurse Practitioner in Neptune, NJ

NPI Status: Active since May 05, 2006

Contact Information

3600 ROUTE 66 FL 3
NEPTUNE, NJ
ZIP 07753
Phone: (732) 807-0800
Fax: (732) 922-0805

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  • Organization
  • Nurse Practitioner

About MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC

This page provides the complete NPI Profile along with additional information for Meridian Medical Group-retail Clinic Pc, a provider established in Neptune, New Jersey operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1578511010 assigned on May 2006. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Meridian Medical Group-retail Clinic Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is James Clarke M.d. (Director)

NPI
1578511010
Provider Name
MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC
Entity Type
Organization
Location Address
3600 ROUTE 66 FL 3 NEPTUNE, NJ 07753
Location Phone
(732) 807-0800
Location Fax
(732) 922-0805
Mailing Address
PO BOX 19597 BELFAST, ME 04915
Mailing Phone
(713) 580-9491
Mailing Fax
(732) 922-0805
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2006
Last Update Date
10-04-2017
Code Navigator

A nurse practitioner (NP) like Meridian Medical Group-retail Clinic Pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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)
1208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

JAMES CLARKE M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(732) 765-6317

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
096839MEDICARE PIN (08)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578511010
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25148101202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 0 + 1 + 2 + 0 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1578511010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

JFK MEDICAL ASSOCIATES PA

Specialist

3600 ROUTE 66 FL 3
NEPTUNE, NJ
ZIP 07753

(888) 571-5280

MERIDIAN CARDIOVASCULAR INTERPRETIVE SERVICES PC

Internal Medicine

(Cardiovascular Disease)

3600 ROUTE 66 FL 3
NEPTUNE, NJ
ZIP 07753

(732) 807-0800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578511010, enumerated as an "organization" on May 05, 2006.

The provider is located at 3600 ROUTE 66 FL 3 NEPTUNE, NJ 07753 and the phone number is (732) 807-0800.

Nurse Practitioner with taxonomy code 363L00000X.

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