TIMBER RIDGE MEDICAL ASSOC, P.C.
NPI 1073647673
Internal Medicine - Pulmonary Disease in Middletown, NY

NPI Status: Active since March 15, 2007

Contact Information

90 CRYSTAL RUN RD
403
MIDDLETOWN, NY
ZIP 10941
Phone: (845) 703-8806
Fax: (845) 703-9058

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  • Organization
  • Internal Medicine
  • Pulmonary Disease

About TIMBER RIDGE MEDICAL ASSOC, P.C.

This page provides the complete NPI Profile along with additional information for Timber Ridge Medical Assoc, P.c., an internist established in Middletown, New York operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1073647673 assigned on March 2007. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Timber Ridge Medical Assoc, P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Eileen Petrilak (Practice Manager)

NPI
1073647673
Provider Name
TIMBER RIDGE MEDICAL ASSOC, P.C.
Entity Type
Organization
Location Address
90 CRYSTAL RUN RD 403 MIDDLETOWN, NY 10941
Location Phone
(845) 703-8806
Location Fax
(845) 703-9058
Mailing Address
90 CRYSTAL RUN RD 403 MIDDLETOWN, NY 10941
Mailing Phone
(845) 703-8806
Mailing Fax
(845) 703-9058
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2007
Last Update Date
08-22-2020
Code Navigator

An internist like Timber Ridge Medical Assoc, P.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

EILEEN PETRILAK

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(845) 703-8806

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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.
1073647673
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014312414614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 2 + 4 + 1 + 4 + 6 + 1 + 4 + 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 1073647673 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720003361 VIJAYA L DASARI MD, DGO
Individual
Family Medicine90 CRYSTAL RUN RD SUITE 403
MIDDLETOWN, NY 10941
(845) 703-8806
1700982808 RICHARD FRANK WALKER M.D.
Individual
Internal Medicine (Pulmonary Disease)90 CRYSTAL RUN RD SUITE 403
MIDDLETOWN, NY 10941
(845) 703-8806
1992015903NEW YORK EYE INSTITUTE AND LASER VISION CENTER, LLC
Organization
Ophthalmology90 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 692-7066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073647673, enumerated in the NPI registry as an "organization" on March 15, 2007

The provider is located at 90 Crystal Run Rd 403 Middletown, Ny 10941 and the phone number is (845) 703-8806

This medical organization specializes in Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

This NPI record was last updated on March 15, 2007. 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.