MYSTIC ISLAND PEDIATRICS PA
NPI 1801951892
Preferred Provider Organization in Little Egg Harbor, NJ
NPI Status: Active since December 27, 2006
Contact Information
104 E ANCHOR DR
LITTLE EGG HARBOR, NJ
ZIP 08087
Phone: (609) 294-5500
- Organization
- Preferred Provider Organization
- CLIA Number: 31D1046272
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-04-2027
About MYSTIC ISLAND PEDIATRICS PA
This page provides the complete NPI Profile along with additional information for Mystic Island Pediatrics Pa, a provider established in Little Egg Harbor, New Jersey operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1801951892 assigned on December 2006. The practitioner's primary taxonomy code is 305R00000X. 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 Arlene Hopkins (Office Manager)
- NPI
- 1801951892
- Provider Name
- MYSTIC ISLAND PEDIATRICS PA
- Entity Type
- Organization
- Location Address
- 104 E ANCHOR DR LITTLE EGG HARBOR, NJ 08087
- Location Phone
- (609) 294-5500
- Mailing Address
- 104 E ANCHOR DR LITTLE EGG HARBOR, NJ 08087
- Mailing Phone
- (609) 294-5500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2006
- 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
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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
- 31D1046272
- Facility Type
- Physician Office
- Certificate Effective Date
- October 05, 2025
- Certificate Expiration Date
- October 04, 2027
- Laboratory Director
- ERIKA HUMPHREYS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mystic Island Pediatrics 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 1801951892, 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.
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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LITTLE EGG HARBOR TWP, NJ 08087
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801951892, enumerated as an "organization" on December 27, 2006.
The provider is located at 104 E ANCHOR DR LITTLE EGG HARBOR, NJ 08087 and the phone number is (609) 294-5500.
Preferred Provider Organization with taxonomy code 305R00000X.
