MRS. LILIBETH S PRADHANANG
NPI 1609228576
Nurse Practitioner - Gerontology in Secaucus, NJ

NPI Status: Active since July 05, 2016

Contact Information

714 10TH ST
SECAUCUS, NJ
ZIP 07094
Phone: (551) 257-7038
Fax: (201) 552-2358

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Gerontology
PECOS Enrolled

About LILIBETH PRADHANANG

This page provides the complete NPI Profile along with additional information for Lilibeth Pradhanang, a provider established in Secaucus, New Jersey with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1609228576 assigned on July 2016. The practitioner's primary taxonomy code is 363LG0600X with license number 26NJ00639800 (NJ). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI: 1609228576
Provider Name: MRS. LILIBETH S PRADHANANG
Other Name: MRS. LILIBETH SEMBRANO PRADHANANG APN-C
Other Name Type: Professional Name (2)
Gender: Female
Entity Type: Individual
Location Address: 714 10TH ST SECAUCUS, NJ 07094
Location Phone: (551) 257-7038
Location Fax: (201) 552-2358
Mailing Address: 50 BENTON RD PARAMUS, NJ 07652
Mailing Phone: (201) 414-7423
Is Sole Proprietor?: No
Enumeration Date: 07-05-2016
Last Update Date: 07-05-2016
Code Navigator

A nurse practitioner (NP) like Lilibeth Pradhanang 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 Gerontology
Taxonomy Code: 363LG0600X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 26NJ00639800
License State: NJ

Medicare Participation & PECOS Enrollment Status

Lilibeth Pradhanang is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 07094 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $98.09
Minimum New Patient Price $63.84
Maximum New Patient Price $190.92

Average New Patient Copayment $24.52
Minimum New Patient Copayment $15.96
Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $111.57
Minimum Established Patient Price $20.97
Maximum Established Patient Price $155.92

Average Established Patient Copayment $27.89
Minimum Established Patient Copayment $5.24
Maximum Established Patient Copayment $38.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.
1	6	0	9	2	2	8	5	7	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	0	9	4	2	16	5	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 4 + 2 + 1 + 6 + 5 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1609228576 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

SHOBHA A. JAWAHARANI MD

Emergency Medicine

714 10TH ST
SECAUCUS, NJ
ZIP 07094

About LILIBETH PRADHANANG

Location Map

Specialty - Primary Taxonomy

Nurse Practitioner Gerontology

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for MRS. LILIBETH S PRADHANANG

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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