C AND M KINTIROGLOU MD'S PA
NPI 1689969396
Pediatrics - Adolescent Medicine in West Orange, NJ
NPI Status: Active since June 10, 2011
Contact Information
1500 PLEASANT VALLEY WAY
SUITE 301
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 243-0002
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 31D0104674
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2026
About C AND M KINTIROGLOU MD'S PA
This page provides the complete NPI Profile along with additional information for C And M Kintiroglou Md's Pa, a pediatrician established in West Orange, New Jersey operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1689969396 assigned on June 2011. The practitioner's primary taxonomy code is 2080A0000X with license number 25MA03124000 (NJ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization 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 Ms. Brigette Fullard (Office Manager)
- NPI
- 1689969396
- Provider Name
- C AND M KINTIROGLOU MD'S PA
- Entity Type
- Organization
- Location Address
- 1500 PLEASANT VALLEY WAY SUITE 301 WEST ORANGE, NJ 07052
- Location Phone
- (973) 243-0002
- Mailing Address
- 1500 PLEASANT VALLEY WAY SUITE 301 WEST ORANGE, NJ 07052
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-10-2011
- Last Update Date
- 06-10-2011
- Code Navigator
A pediatrician like C And M Kintiroglou Md's Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA03124000
- License State
- NJ
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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.
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
- 31D0104674
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2024
- Certificate Expiration Date
- December 22, 2026
- Laboratory Director
- JOHN KINTIROGLOU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to C And M Kintiroglou Md's Pa 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 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. | |||||||||
1 | 6 | 8 | 9 | 9 | 6 | 9 | 3 | 9 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 16 | 9 | 18 | 6 | 18 | 3 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 6 + 9 + 1 + 8 + 6 + 1 + 8 + 3 + 1 + 8 + 24 = 84 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
90 - 84 = 6 | 6 |
The NPI number 1689969396 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. GARY S FRIEDMAN M.D.
Internal Medicine
(Nephrology)
1500 PLEASANT VALLEY WAY
SUITE 203
WEST ORANGE, NJ
ZIP 07052
STEVEN M. HERTZ MD
Surgery
(Vascular Surgery)
1500 PLEASANT VALLEY WAY
SUITE 302
WEST ORANGE, NJ
ZIP 07052
MARK HOWARD FORMAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1500 PLEASANT VALLEY WAY
STE 302
WEST ORANGE, NJ
ZIP 07052
DR. LINCOLN MILLER MD
Internal Medicine
(Infectious Disease)
1500 PLEASANT VALLEY WAY
SUITE 201
WEST ORANGE, NJ
ZIP 07052
LINCOLN P MILLER MD LLC
Internal Medicine
(Infectious Disease)
1500 PLEASANT VALLEY WAY
STE 201
WEST ORANGE, NJ
ZIP 07052
DR. RONALD GARY FRANK M.D.
Urology
1500 PLEASANT VALLEY WAY
SUITE 201
WEST ORANGE, NJ
ZIP 07052
DR. HOWARD ALAN HOLTZ M.D.
Internal Medicine
1500 PLEASANT VALLEY WAY
SUITE 205
WEST ORANGE, NJ
ZIP 07052
GARY K BERMAN MD
Internal Medicine
(Cardiovascular Disease)
1500 PLEASANT VALLEY WAY
SUITE 207
WEST ORANGE, NJ
ZIP 07052
DR. ALAN B GERTNER PH.D.
Audiologist
1500 PLEASANT VALLEY WAY
SUITE 206
WEST ORANGE, NJ
ZIP 07052
NEIL KAHANOVITZ M.D.
Orthopaedic Surgery
1500 PLEASANT VALLEY WAY
SUITE 101
WEST ORANGE, NJ
ZIP 07052
BARRY F WACHTLER PTA
Physical Therapy Assistant
1500 PLEASANT VALLEY WAY
SUITE 102
WEST ORANGE, NJ
ZIP 07052
REBECCA H KONSTANDT PT
Physical Therapist
1500 PLEASANT VALLEY WAY
SUITE 102
WEST ORANGE, NJ
ZIP 07052
DR. ERIC MARK JOSEPH MD
Otolaryngology
(Facial Plastic Surgery)
1500 PLEASANT VALLEY WAY
SUITE 206
WEST ORANGE, NJ
ZIP 07052
KRISTINA WALKER PA-C
Orthopaedic Surgery
1500 PLEASANT VALLEY WAY
SUITE 101
WEST ORANGE, NJ
ZIP 07052
MICHELE MILLER
Counselor
(Professional)
1500 PLEASANT VALLEY WAY
SUITE 201
WEST ORANGE, NJ
ZIP 07052
DR. GEORGE RALPH KUNTZ MD
Internal Medicine
1500 PLEASANT VALLEY WAY
SUITE 201
WEST ORANGE, NJ
ZIP 07052
DR. JOHN KINTIROGLOU M.D.
Pediatrics
1500 PLEASANT VALLEY WAY
STE 306
WEST ORANGE, NJ
ZIP 07052
DR. CONSTANTINOS KINTIROGLOU M.D.
Pediatrics
(Adolescent Medicine)
1500 PLEASANT VALLEY WAY
STE 306
WEST ORANGE, NJ
ZIP 07052
RONALD G. FRANK MD,PC
Specialist
1500 PLEASANT VALLEY WAY
SUITE 201
WEST ORANGE, NJ
ZIP 07052
MRS. LAUREN ILLYA KOHLBERG C.P.N.P
Nurse Practitioner
(Pediatrics)
1500 PLEASANT VALLEY WAY
SUITE 301
WEST ORANGE, NJ
ZIP 07052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689969396, enumerated as an "organization" on June 10, 2011.
The provider is located at 1500 PLEASANT VALLEY WAY SUITE 301 WEST ORANGE, NJ 07052 and the phone number is (973) 243-0002.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.