COLFAX ONCOLOGY LLC NPI 1649225525

Specialist in Clifton, NJ

NPI 1649225525 Organization Specialist CLIA Number 31D1037537 CLIA Certificate of Waiver

NPI Profile for COLFAX ONCOLOGY LLC

Colfax Oncology Llc is a provider established in Clifton, New Jersey specializing in specialist. The NPI number of Colfax Oncology Llc is 1649225525 and was assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number MA61127 (NJ). The provider is registered as an organization and their NPI record was last updated 14 years ago. Colfax Oncology Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Richards Afonja Md (Owner)

The CLIA number of Colfax Oncology Llc is 31D1037537 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Colfax Oncology Llc 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

1649225525

Provider NameCOLFAX ONCOLOGY LLC
Provider Location Address476 COLFAX AVE CLIFTON, NJ 07013
Provider Mailing AddressPO BOX 857 CLIFTON, NJ 07015
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-23-2006
Last Update Date06-03-2008


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.MA61127
License StateNJ
Taxonomy DescriptionAn 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.

Business Address

COLFAX ONCOLOGY LLC
476 COLFAX AVE
CLIFTON, NJ
ZIP 07013
Phone: (973) 594-7977

Get Directions


Mailing Address

COLFAX ONCOLOGY LLC
PO BOX 857
CLIFTON, NJ
ZIP 07015
Phone: (973) 594-7977



Authorized Official

Authorized Official NameDR. RICHARDS AFONJA MD
Authorized Official TitleOWNER
Authorized Official Phone(973) 594-7977

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 the NPI number 1649225525 is:

CLIA Number31D1037537
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
123020MEDICARE PIN (08)NJ
6763901MEDICAID (05)NJ
G19659MEDICARE UPIN (02)NJ

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1649225525
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689421054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 2 + 1 + 0 + 5 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1649225525 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730200841SEBASTIAN MEDICAL ASSOCIATES CORPORATION
Organization
Specialist476 COLFAX AVE
CLIFTON, NJ 07013
(973) 594-7977
1255300141DR. RICHARDS AFONJA MD
Individual
Internal Medicine (Hematology & Oncology)476 COLFAX AVE
CLIFTON, NJ 07013
(973) 594-7977
1942691100FASTMED OF NJ LLC
Organization
Internal Medicine (Hematology & Oncology)476 COLFAX AVE
CLIFTON, NJ 07013
(973) 594-7977
1134167059COLFAX MEDICAL ASSOCIATES LLC
Organization
Specialist476 COLFAX AVE
CLIFTON, NJ 07013
(973) 594-7977

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Colfax Oncology Llc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.