PEDIATRIC SPECIALTIES, PA
NPI 1699888065
Neuromusculoskeletal Medicine, Sports Medicine in Hackensack, NJ
NPI Status: Active since August 17, 2006
Contact Information
90 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-4001
Fax: (201) 342-9569
- Organization
- Neuromusculoskeletal Medicine, Sports Me...
- CLIA Number: 31D0111810
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-25-2025
About PEDIATRIC SPECIALTIES, PA
This page provides the complete NPI Profile along with additional information for Pediatric Specialties, Pa, a provider established in Hackensack, New Jersey operating as a Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1699888065 assigned on August 2006. The practitioner's primary taxonomy code is 204C00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Pediatric Specialties, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Paul Joseph Harlow Md (Office Manager)
- NPI
- 1699888065
- Provider Name
- PEDIATRIC SPECIALTIES, PA
- Entity Type
- Organization
- Location Address
- 90 PROSPECT AVE HACKENSACK, NJ 07601
- Location Phone
- (201) 342-4001
- Location Fax
- (201) 342-9569
- Mailing Address
- 90 PROSPECT AVE HACKENSACK, NJ 07601
- Mailing Phone
- (201) 342-4001
- Mailing Fax
- (201) 342-9569
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-17-2006
- Last Update Date
- 08-22-2020
- Code Navigator
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
Neuromusculoskeletal Medicine, Sports Medicine
- Taxonomy Code
- 204C00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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
- 31D0111810
- Facility Type
- Physician Office
- Certificate Effective Date
- October 26, 2023
- Certificate Expiration Date
- October 25, 2025
- Laboratory Director
- JEFFREY BIENSTOCK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Specialties, 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 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 1699888065, 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
HACKENSACK, NJ 07601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699888065, enumerated as an "organization" on August 17, 2006.
The provider is located at 90 PROSPECT AVE HACKENSACK, NJ 07601 and the phone number is (201) 342-4001.
Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.
