ST MONICA MANOR
NPI 1780751123
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Philadelphia, PA

NPI Status: Active since November 29, 2006

Contact Information

2509 S 4TH ST
PHILADELPHIA, PA
ZIP 19148
Phone: (215) 271-1080
Fax: (215) 368-5254

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Parenteral & Enteral Nutrition
  • CLIA Number: 39D0938396
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 01-22-2027

About ST MONICA MANOR

This page provides the complete NPI Profile along with additional information for St Monica Manor, a provider established in Philadelphia, Pennsylvania operating as a Durable Medical Equipment & Medical Supplies, focusing in parenteral & enteral nutrition . The healthcare provider is registered in the NPI registry with number 1780751123 assigned on November 2006. The practitioner's primary taxonomy code is 332BP3500X with license number 232602 (PA). 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 Mr. Michael Czekner (Chief Financial Officer)

NPI
1780751123
Provider Name
ST MONICA MANOR
Entity Type
Organization
Location Address
2509 S 4TH ST PHILADELPHIA, PA 19148
Location Phone
(215) 271-1080
Location Fax
(215) 368-5254
Mailing Address
2509 S 4TH ST PHILADELPHIA, PA 19148
Mailing Phone
(215) 271-1080
Mailing Fax
(215) 368-5254
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2006
Last Update Date
08-22-2020
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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

Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition

Taxonomy Code
332BP3500X
Type
Suppliers
License No.
232602
License State
PA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. MICHAEL CZEKNER

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(215) 368-0900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5329640001OTHER (01)NSC DME SUPPLIER #

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
39D0938396
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
January 23, 2025
Certificate Expiration Date
January 22, 2027
Laboratory Director
PETER HONIG DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Monica Manor 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 1780751123, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 6 + 0 + 1 + 4 + 5 + 2 + 1 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1780751123.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Skilled Nursing Facility
2509 S 4TH ST
PHILADELPHIA, PA 19148
Occupational Therapy Assistant
2509 S 4TH ST
PHILADELPHIA, PA 19148
Physical Therapist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Speech-Language Pathologist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Occupational Therapist
2509 S 4TH ST, REHAB DPT
PHILADELPHIA, PA 19148
Physical Therapist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Physical Therapist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Occupational Therapist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Occupational Therapist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Occupational Therapist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Occupational Therapist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Speech-Language Pathologist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Physical Therapist
2509 S 4TH ST
PHILADELPHIA, PA 19148
Podiatrist (Primary Podiatric Medicine)
2509 S 4TH ST
PHILADELPHIA, PA 19148
Physical Therapist
2509 S 4TH ST
PHILADELPHIA, PA 19148

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780751123, enumerated as an "organization" on November 29, 2006.

The provider is located at 2509 S 4TH ST PHILADELPHIA, PA 19148 and the phone number is (215) 271-1080.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BP3500X and a focus in Parenteral & Enteral Nutrition.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.