ACTIVE AGING MEDICAL GROUP INC
NPI 1720368772
Clinic/Center - Medical Specialty in Newark, NJ

NPI Status: Active since August 23, 2011

Contact Information

188 JEFFERSON ST
SUITE# 111
NEWARK, NJ
ZIP 07105
Phone: (732) 425-3564
Fax: (212) 238-7760

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  • Organization
  • Clinic/Center
  • Medical Specialty

About ACTIVE AGING MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Active Aging Medical Group Inc, a provider established in Newark, New Jersey operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1720368772 assigned on August 2011. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Alexander Kolessa M.d. (Chief Medical Officer)

NPI
1720368772
Provider Name
ACTIVE AGING MEDICAL GROUP INC
Entity Type
Organization
Location Address
188 JEFFERSON ST SUITE# 111 NEWARK, NJ 07105
Location Phone
(732) 425-3564
Location Fax
(212) 238-7760
Mailing Address
188 JEFFERSON ST SUITE# 111 NEWARK, NJ 07105
Mailing Phone
(732) 425-3564
Mailing Fax
(212) 238-7760
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2011
Last Update Date
08-23-2011
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

ALEXANDER KOLESSA M.D.

Authorized Official Title
CHIEF MEDICAL OFFICER
Authorized Official Phone
(732) 425-3564

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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 1720368772, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 2 → 4 3 → 6 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 6 + 6 + 1 + 6 + 7 + 1 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1720368772.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapist
188 JEFFERSON ST, SUITE 389
NEWARK, NJ 07105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720368772, enumerated as an "organization" on August 23, 2011.

The provider is located at 188 JEFFERSON ST SUITE# 111 NEWARK, NJ 07105 and the phone number is (732) 425-3564.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.