WALL FAMILY MEDICAL
NPI 1841592144
Non-Pharmacy Dispensing Site in Sea Girt, NJ

NPI Status: Active since November 19, 2010

Contact Information

2130 HIGHWAY 35
SUITE 324 - 2ND FLOOR
SEA GIRT, NJ
ZIP 08750
Phone: (732) 974-1980

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 31D0886851
  • CLIA Cert. Type: Other - PRIMARY CARE PRACTICE
  • CLIA Exp. Date: 04-18-2027

About WALL FAMILY MEDICAL

This page provides the complete NPI Profile along with additional information for Wall Family Medical, a provider established in Sea Girt, New Jersey operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1841592144 assigned on November 2010. The practitioner's primary taxonomy code is 332900000X with license number 25MA05529400 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Wall Family Medical. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1841592144
Provider Legal Name
PARTNERS IN FREEDOM LLC
Other Organization Name
WALL FAMILY MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2130 HIGHWAY 35 SUITE 324 - 2ND FLOOR SEA GIRT, NJ 08750
Location Phone
(732) 974-1980
Mailing Address
9276 SCRANTON RD SUITE 100 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-19-2010
Last Update Date
03-01-2016
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
25MA05529400
License State
NJ
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 625-2990

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
31D0886851
Facility Type
Other - PRIMARY CARE PRACTICE
Certificate Effective Date
April 19, 2025
Certificate Expiration Date
April 18, 2027
Laboratory Director
DR. JANICE SICILIANO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wall Family Medical 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 1841592144, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
4
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 4 → 8 5 → 10 → 1 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 1 + 0 + 9 + 4 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1841592144.

Other Providers at the Same Location


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

Physical Medicine & Rehabilitation
2130 HIGHWAY 35, STE B-216
SEA GIRT, NJ 08750
Nurse Practitioner (Acute Care)
2130 HIGHWAY 35, 321C
SEA GIRT, NJ 08750
Psychiatry & Neurology (Psychiatry)
2130 HIGHWAY 35, BUILDING A, SUITE 124
SEA GIRT, NJ 08750
Internal Medicine
2130 HIGHWAY 35, SUITE 213B
SEA GIRT, NJ 08750
Internal Medicine
2130 HIGHWAY 35, SUITE 213B
SEA GIRT, NJ 08750
Allergy & Immunology (Allergy)
2130 HIGHWAY 35, SUITE 115A
SEA GIRT, NJ 08750
Optometrist
2130 HIGHWAY 35
SEA GIRT, NJ 08750
Family Medicine
2130 HIGHWAY 35, BLDG C
SEA GIRT, NJ 08750
Internal Medicine (Interventional Cardiology)
2130 HIGHWAY 35, BLD C SUITE 321
SEA GIRT, NJ 08750
Psychologist
2130 HIGHWAY 35, BUILDING A SUITE 114
SEA GIRT, NJ 08750
Dentist (Periodontics)
2130 HIGHWAY 35, SUITE 121
SEA GIRT, NJ 08750
Pediatrics
2130 HIGHWAY 35, SEA GIRT PEDIATRICS, SUITE B214
SEA GIRT, NJ 08750
Dentist (Periodontics)
2130 HIGHWAY 35, SUITE 121
SEA GIRT, NJ 08750
Family Medicine (Adolescent Medicine)
2130 HIGHWAY 35, SUITE B214
SEA GIRT, NJ 08750
Dentist (General Practice)
2130 HIGHWAY 35, SUITE 211
SEA GIRT, NJ 08750
Pediatrics
2130 HIGHWAY 35
SEA GIRT, NJ 08750
Internal Medicine (Cardiovascular Disease)
2130 HIGHWAY 35, BLDG C SUITE 321
SEA GIRT, NJ 08750
Internal Medicine
2130 HIGHWAY 35, BLDG C
SEA GIRT, NJ 08750
Dentist (General Practice)
2130 HIGHWAY 35, SUITE 211
SEA GIRT, NJ 08750
Dentist (Endodontics)
2130 HIGHWAY 35
SEA GIRT, NJ 08750

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841592144, enumerated as an "organization" on November 19, 2010.

The provider is located at 2130 HIGHWAY 35 SUITE 324 - 2ND FLOOR SEA GIRT, NJ 08750 and the phone number is (732) 974-1980.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.