PRINCETON PATHOLOGY SERVICES
NPI 1710009626
Clinical Medical Laboratory in Newark, NJ

NPI Status: Active since April 04, 2007

Contact Information

111 CENTRAL AVE
NEWARK, NJ
ZIP 07102
Phone: (973) 877-5200

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 31D0666217
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-31-2026

About PRINCETON PATHOLOGY SERVICES

This page provides the complete NPI Profile along with additional information for Princeton Pathology Services, a provider established in Newark, New Jersey operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1710009626 assigned on April 2007. The practitioner's primary taxonomy code is 291U00000X with license number 25MA07983800 (NJ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Mario Gonzalez (President)

NPI
1710009626
Provider Name
PRINCETON PATHOLOGY SERVICES
Entity Type
Organization
Location Address
111 CENTRAL AVE NEWARK, NJ 07102
Location Phone
(973) 877-5200
Mailing Address
8 PLAYERS LN PRINCETON, NJ 08540
Mailing Phone
(609) 647-1423
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
08-22-2020
Code Navigator

Establishments like Princeton Pathology Services are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
25MA07983800
License State
NJ
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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. MARIO GONZALEZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(609) 647-1423

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
31D0666217
Facility Type
Physician Office
Certificate Effective Date
January 01, 2025
Certificate Expiration Date
December 31, 2026
Laboratory Director
WILLIAM G. GIASI JR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Princeton Pathology Services 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 1710009626, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
6
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 1 → 2 0 → 0 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 0 + 0 + 1 + 8 + 6 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1710009626.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
111 CENTRAL AVE
NEWARK, NJ 07102
Family Medicine (Adult Medicine)
111 CENTRAL AVE
NEWARK, NJ 07102
Internal Medicine (Nephrology)
111 CENTRAL AVE
NEWARK, NJ 07102
Pathology (Anatomic Pathology & Clinical Pathology)
111 CENTRAL AVE
NEWARK, NJ 07102
Nurse Practitioner (Adult Health)
111 CENTRAL AVE, CARDIAC CATH LAB
NEWARK, NJ 07102
Nurse Practitioner (Family)
111 CENTRAL AVE, CARDIAC CATH LAB
NEWARK, NJ 07102
Nurse Practitioner (Adult Health)
111 CENTRAL AVE, SMMC, EMPLOYEE HEALTH - MSH ROOM 203
NEWARK, NJ 07102
Emergency Medicine (Medical Toxicology)
111 CENTRAL AVE
NEWARK, NJ 07102
Contractor
111 CENTRAL AVE, FLOOR M2
NEWARK, NJ 07102
General Acute Care Hospital
111 CENTRAL AVE
NEWARK, NJ 07102
Physician Assistant (Surgical)
111 CENTRAL AVE
NEWARK, NJ 07102
Physician Assistant
111 CENTRAL AVE
NEWARK, NJ 07102
Internal Medicine (Nephrology)
111 CENTRAL AVE
NEWARK, NJ 07102
Pharmacist
111 CENTRAL AVE, PHARMACY DEPARTMENT
NEWARK, NJ 07102
Surgery
111 CENTRAL AVE
NEWARK, NJ 07102
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Nurse Anesthetist, Certified Registered
111 CENTRAL AVE
NEWARK, NJ 07102
Physician Assistant (Surgical)
111 CENTRAL AVE, SAINT MICHAEL'S MEDICAL CENTER - DIV OF CARDIAC SURGERY
NEWARK, NJ 07102
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
111 CENTRAL AVE
NEWARK, NJ 07102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710009626, enumerated as an "organization" on April 04, 2007.

The provider is located at 111 CENTRAL AVE NEWARK, NJ 07102 and the phone number is (973) 877-5200.

Clinical Medical Laboratory with taxonomy code 291U00000X.