MULBERRY AMBULATORY SURGICAL CENTER, LLC
NPI 1639561293
Clinic/Center - Ambulatory Surgical in Newark, NJ

NPI Status: Active since February 19, 2015

Contact Information

393-397 MULBERRY STREET
NEWARK, NJ
ZIP 07012
Phone: (929) 400-2159

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About MULBERRY AMBULATORY SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Mulberry Ambulatory Surgical Center, Llc, a provider established in Newark, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1639561293 assigned on February 2015. The practitioner's primary taxonomy code is 261QA1903X with license number 25MA07669400 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Domenica M Barritta M.d. (Owner/ Director)

NPI
1639561293
Provider Name
MULBERRY AMBULATORY SURGICAL CENTER, LLC
Entity Type
Organization
Location Address
393-397 MULBERRY STREET NEWARK, NJ 07012
Location Phone
(929) 400-2159
Mailing Address
PO BOX 9425 NEW YORK, NY 10087
Mailing Phone
(212) 874-3384
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2015
Last Update Date
05-06-2015
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
25MA07669400
License State
NJ

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. DOMENICA M BARRITTA M.D.

Authorized Official Title
OWNER/ DIRECTOR
Authorized Official Phone
(929) 400-2159

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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.
1639561293
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691062218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 6 + 2 + 2 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639561293 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639561293, enumerated as an "organization" on February 19, 2015.

The provider is located at 393-397 MULBERRY STREET NEWARK, NJ 07012 and the phone number is (929) 400-2159.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.