NEURORESTORATIVE NEW JERSEY
NPI 1679082234
Rehabilitation Hospital in Mount Laurel, NJ

NPI Status: Active since September 27, 2017

Contact Information

115 EVANS CT
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 824-2907

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  • Organization
  • Rehabilitation Hospital
  • CLIA Number: 31D2234440
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 08-30-2027

About NEURORESTORATIVE NEW JERSEY

This page provides the complete NPI Profile along with additional information for Neurorestorative New Jersey, a provider established in Mount Laurel, New Jersey operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1679082234 assigned on September 2017. The practitioner's primary taxonomy code is 283X00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Neurorestorative New Jersey. The authorized official of this NPI record is Sergio P Cruz (Chief Financial Officer)

NPI
1679082234
Provider Legal Name
MENTOR ABI, LLC
Other Organization Name
NEURORESTORATIVE NEW JERSEY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
115 EVANS CT MOUNT LAUREL, NJ 08054
Location Phone
(856) 824-2907
Mailing Address
980 WASHINGTON ST STE 306 DEDHAM, MA 02026
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2017
Last Update Date
09-27-2017
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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

Rehabilitation Hospital

Taxonomy Code
283X00000X
Type
Hospitals
Taxonomy Description
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

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

SERGIO P CRUZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(781) 708-9444

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
31D2234440
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
August 31, 2025
Certificate Expiration Date
August 30, 2027
Laboratory Director
DEBBORA BERGMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Neurorestorative New Jersey 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.

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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 1679082234, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 7 → 14 → 5 0 → 0 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 0 + 8 + 4 + 2 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1679082234.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679082234, enumerated as an "organization" on September 27, 2017.

The provider is located at 115 EVANS CT MOUNT LAUREL, NJ 08054 and the phone number is (856) 824-2907.

Rehabilitation Hospital with taxonomy code 283X00000X.