GRACE FAMILY MEDICAL PRACTICE PC
NPI 1043232143
Legal Medicine in Brooklyn, NY

NPI Status: Active since July 25, 2006

Contact Information

1222 E 96TH ST
2ND FL
BROOKLYN, NY
ZIP 11236
Phone: (718) 257-3355
Fax: (718) 257-4562

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  • Organization
  • Legal Medicine

About GRACE FAMILY MEDICAL PRACTICE PC

This page provides the complete NPI Profile along with additional information for Grace Family Medical Practice Pc, a provider established in Brooklyn, New York operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1043232143 assigned on July 2006. The practitioner's primary taxonomy code is 173000000X with license number 149698 (NY). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Bernadette Lizina Sheridan Md (Md)

NPI
1043232143
Provider Name
GRACE FAMILY MEDICAL PRACTICE PC
Entity Type
Organization
Location Address
1222 E 96TH ST 2ND FL BROOKLYN, NY 11236
Location Phone
(718) 257-3355
Location Fax
(718) 257-4562
Mailing Address
1222 E 96TH ST 2ND FLOOR BROOKLYN, NY 11236
Mailing Phone
(718) 257-3355
Mailing Fax
(718) 257-4562
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2006
Last Update Date
03-17-2022
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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

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
149698
License State
NY
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

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.

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

DR. BERNADETTE LIZINA SHERIDAN MD

Authorized Official Title
MD
Authorized Official Phone
(718) 257-3355

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
03803192MEDICAID (05)NY 
149698-A16OTHER (01)NYHEALTHFIRST
160955OTHER (01)NYELDER PLAN
0576775OTHER (01)NYAETNA HMO
08P6021OTHER (01)NEW YORK PRESBYTERIAN
0901918OTHER (01)NYCIGNA
5462A1OTHER (01)NYEMPIRE BC BS
000109940101OTHER (01)NYHEALTH PLUS
1043232143OTHER (01)NYHEALTHCARE PARTNERS
1P1174OTHER (01)NYHEALTHNET
00778863MEDICAID (05)NY 
149698OTHER (01)NYHIP
5760228OTHER (01)NYAETNA COM
172447OTHER (01)NYWELLCARE
311913OTHER (01)NYUNITED HEALTH CARE
1000036958OTHER (01)NYAFFINITY
080412000004OTHER (01)NYFIDELISCARE
1043232143OTHER (01)NYEMBLEM HEALTH
115438OTHER (01)NYGHI HMO
5995872OTHER (01)NYGHI
P1078363OTHER (01)NYOXFORD

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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.
1043232143
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208343418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 3 + 4 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1043232143 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275686131FEKADE TEFERA PHYSICIAN, P.C.
Organization
Internal Medicine (Nephrology)1222 E 96TH ST
BROOKLYN, NY 11236
(718) 874-7095
1922212976MRS. PATRICIA WALKER-TULLOCH RD, CDN, CWM
Individual
Dietitian, Registered (Nutrition, Metabolic)1222 E 96TH ST
BROOKLYN, NY 11236
(718) 257-3355
1881916542MRS. HELENE CAMARDA
Individual
Pharmacist1222 E 96TH ST
BROOKLYN, NY 11236
(718) 688-8799
1336177328DR. FEKADE TEFERA M.D.
Individual
Internal Medicine (Nephrology)1222 E 96TH ST
BROOKLYN, NY 11236
(718) 874-7095
1790024875ACARE HHC INC
Organization
Home Health1222 E 96TH ST
BROOKLYN, NY 11236
(718) 927-6346
1215456447BROOKLYN SURGICAL PLLC
Organization
Surgery1222 E 96TH ST
BROOKLYN, NY 11236
(718) 257-3355
1497748446MS. SABRINA FOSKEY N.P.
Individual
Nurse Practitioner (Family)1222 E 96TH ST
BROOKLYN, NY 11236
(718) 257-3355
1184894156MR. JONATHAN R SHAATAL MS, RPH
Individual
Pharmacist1222 E 96TH ST
BROOKLYN, NY 11236
(718) 688-8755
1639162365DR. BERNADETTE LIZINA SHERIDAN MD
Individual
Family Medicine1222 E 96TH ST
BROOKLYN, NY 11236
(718) 257-3355
1710758115MRS. CATALINA FRANCES AGOSTO
Individual
Nurse Practitioner (Women's Health)1222 E 96TH ST
BROOKLYN, NY 11236
(718) 272-7048

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043232143, enumerated in the NPI registry as an "organization" on July 25, 2006

The provider is located at 1222 E 96th St 2nd Fl Brooklyn, Ny 11236 and the phone number is (718) 257-3355

This medical organization specializes in Legal Medicine with taxonomy code 173000000X

The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Cigna, Wellcare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.