NORMA A RAE-LAYNE M.D.
NPI 1609950187
Specialist in West Orange, NJ

NPI Status: Active since October 24, 2006

Contact Information

59 MAIN ST
SUITE 207
WEST ORANGE, NJ
ZIP 07052
Phone: (862) 766-5363
Fax: (862) 766-5363

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  • Individual
  • Female
  • Years of Experience 30
  • Specialist
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About NORMA RAE-LAYNE

This page provides the complete NPI Profile along with additional information for Norma Rae-layne, a provider established in West Orange, New Jersey with a medical specialization in Specialist and more than 30 years of experience. She graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1996. The healthcare provider is registered in the NPI registry with number 1609950187 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1609950187
Provider Name
NORMA A RAE-LAYNE M.D.
Other Name
NORMA A RAE M.D.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
59 MAIN ST SUITE 207 WEST ORANGE, NJ 07052
Location Phone
(862) 766-5363
Location Fax
(862) 766-5363
Mailing Address
59 MAIN ST SUITE 207 WEST ORANGE, NJ 07052
Mailing Phone
(862) 766-5363
Mailing Fax
(862) 766-5363
Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year
1996
Is Sole Proprietor?
Yes
Enumeration Date
10-24-2006
Last Update Date
07-13-2022
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

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.

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
510501409OTHER (01)TAX ID
25MA07844500OTHER (01)NJLICENCE
0054003MEDICAID (05)NJ 
D08642300OTHER (01)NJCDS

Medicare Participation & PECOS Enrollment Status

Norma Rae-layne is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Norma Rae-layne 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

  • PECOS PAC ID: 6608851639

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050308000812

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 39 times for 35 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 69 times for 55 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 18 times for 18 patients

Reviews for NORMA A RAE-LAYNE M.D.

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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 1609950187, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 0 → 0 9 → 18 → 9 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 1 + 8 + 5 + 0 + 1 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1609950187.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Physical Therapist (Orthopedic)
59 MAIN ST, 201
WEST ORANGE, NJ 07052
Internal Medicine (Geriatric Medicine)
59 MAIN ST, SUITE 204
WEST ORANGE, NJ 07052
Anesthesiology (Pain Medicine)
59 MAIN ST, 3RD FLOOR
WEST ORANGE, NJ 07052
Podiatrist
59 MAIN ST, SUITE 350
WEST ORANGE, NJ 07052
Clinic/Center
59 MAIN ST, SUITE 204
WEST ORANGE, NJ 07052
Pain Medicine (Interventional Pain Medicine)
59 MAIN ST, SUITE 353
WEST ORANGE, NJ 07052
Ambulance (Land Transport)
59 MAIN ST, SUITE 303
WEST ORANGE, NJ 07052
Podiatrist (Foot & Ankle Surgery)
59 MAIN ST, SUITE 350
WEST ORANGE, NJ 07052
Counselor (Mental Health)
59 MAIN ST
WEST ORANGE, NJ 07052
Occupational Therapist (Pediatrics)
59 MAIN ST
WEST ORANGE, NJ 07052
Home Health
59 MAIN ST, SUITE 300
WEST ORANGE, NJ 07052
Driver
59 MAIN ST
WEST ORANGE, NJ 07052
Social Worker
59 MAIN ST
WEST ORANGE, NJ 07052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609950187, enumerated as an "individual" on October 24, 2006.

The provider is located at 59 MAIN ST SUITE 207 WEST ORANGE, NJ 07052 and the phone number is (862) 766-5363.

Specialist with taxonomy code 174400000X.

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