MARY VAN DEN BERG-WOLF MD
NPI 1114915147
Internal Medicine in Bala Cynwyd,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 13, 2005

Contact Information

225 E City Ave
Bala Cynwyd,
Post Code: 19004
Phone: (215) 503-3838
Fax: -

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Mary Van Den Berg-wolf Md in Bala Cynwyd - Internal Medicine

Mary Van Den Berg-wolf Md is a Internal Medicine in Bala Cynwyd, . Mary Van Den Berg-wolf Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mary Van Den Berg-wolf Md is 1114915147. The last update date is 2018-07-30.

Mary Van Den Berg-wolf Md's current location address is 225 E City Ave, Bala Cynwyd, . You can contact this provider via phone number (215) 503-3838 and fax number -. The mailing address for Mary Van Den Berg-wolf Md is 225 E City Ave, Bala Cynwyd, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114915147
Provider Name
MARY VAN DEN BERG-WOLF MD
Gender
Female
Entity Type
Individual
Location Address
225 E City Ave, Bala Cynwyd,
Location Phone
(215) 503-3838
Location Fax
-
Mailing Address
140 Sw 146th St, Burien, Washington(WA)
Mailing Phone
206-630-3000
Mailing Fax
206-630-3001
Enumeration Date
2005-10-13
Last Update Date
2018-07-30
Code Navigator

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

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
MD60806378
License State
Washington (WA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207R00000X Internal Medicine Physician

Internal Medicine

MD025054E (Pennsylvania)

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
0014457420001 MEDICAID (05) Pennsylvania (PA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114915147
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241811018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21241811018
2 + 1 + 2 + 4 + 1 + 8 + 1 + 1 + 0 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7 7

The NPI number 1114915147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114915139 JUAN R BALLESTEROS
Individual
Pediatrics, Neonatal-Perinatal Medicine PO BOX 13579
READING, Pennsylvania (PA)
484-628-1324
1114915014 HEATHER E CLAUSS
Individual
Internal Medicine, Infectious Disease 3401 N BROAD ST
PHILADELPHIA, Pennsylvania (PA)
215-707-3807
1114914975 JOAN F ADLER
Individual
Pediatrics 3425 N CARLISLE ST
PHILADELPHIA, Pennsylvania (PA)
215-707-4739
1114914959 NATALIA ORTIZ
Individual
Psychiatry & Neurology, Psychiatry 100 E LEHIGH AVE
PHILADELPHIA, Pennsylvania (PA)
215-707-8496
1114914827 LI MIN I LIU
Individual
Internal Medicine, Hematology & Oncology 50 N 12TH STREET
LEMOYNE, Pennsylvania (PA)
717-737-5767