ANGELIC PALLIATIVE CARE
NPI 1629565015
Nurse Practitioner - Community Health in Pleasantville, NJ

NPI Status: Active since April 20, 2018

Contact Information

8025 BLACK HORSE PIKE STE 501
PLEASANTVILLE, NJ
ZIP 08232
Phone: (609) 822-7979
Fax: (609) 822-7980

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Nurse Practitioner
Community Health
CLIA Number: 31D2148574
CLIA Cert. Type: Other - PALLIATIVE CARE
CLIA Exp. Date: 05-14-2026

About ANGELIC PALLIATIVE CARE

This page provides the complete NPI Profile along with additional information for Angelic Palliative Care, a provider established in Pleasantville, New Jersey operating as a Nurse Practitioner, focusing in community health . The healthcare provider is registered in the NPI registry with number 1629565015 assigned on April 2018. The practitioner's primary taxonomy code is 363LC1500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Angelic Palliative Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Dan Mikus (Administrator)

NPI: 1629565015
Provider Name: ANGELIC PALLIATIVE CARE
Entity Type: Organization
Location Address: 8025 BLACK HORSE PIKE STE 501 PLEASANTVILLE, NJ 08232
Location Phone: (609) 822-7979
Location Fax: (609) 822-7980
Mailing Address: 8025 BLACK HORSE PIKE STE 501 PLEASANTVILLE, NJ 08232
Mailing Phone: (609) 822-7979
Mailing Fax: (609) 822-7980
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-20-2018
Last Update Date: 08-04-2021
Code Navigator

A nurse practitioner (NP) like Angelic Palliative Care 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 Community Health
Taxonomy Code: 363LC1500X
Type: Physician Assistants & Advanced Practice Nursing Providers

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
1	101YM0800X	Behavioral Health & Social Service Providers	Counselor Mental Health
2	163WW0000X	Nursing Service Providers	Registered Nurse Wound Care
3	207RH0002X	Allopathic & Osteopathic Physicians	Internal Medicine Hospice and Palliative Medicine

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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: MR. DAN MIKUS
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (609) 822-7979

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: 31D2148574
Facility Type: Other - PALLIATIVE CARE
Certificate Effective Date: May 15, 2024
Certificate Expiration Date: May 14, 2026
Laboratory Director: SHEILA LILL
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Angelic Palliative Care 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.

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 1629565015, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 4

Pos 4

Unchanged

Pos 5

Doubled → 10 → 1 + 0

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

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 2 → 4 5 → 10 → 1 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 1 + 0 + 6 + 1 + 0 + 0 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1629565015.