PORT JERVIS CITY SCHOOL DISTRICT
NPI 1093864316
Local Education Agency (LEA) in Port Jervis, NY

NPI Status: Active since January 09, 2007

Contact Information

9 THOMPSON ST
PORT JERVIS, NY
ZIP 12771
Phone: (845) 858-3185
Fax: (845) 858-4211

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  • Organization
  • Local Education Agency (LEA)
  • CLIA Number: 33D2012193
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About PORT JERVIS CITY SCHOOL DISTRICT

This page provides the complete NPI Profile along with additional information for Port Jervis City School District, a provider established in Port Jervis, New York operating as a Local Education Agency (lea). The healthcare provider is registered in the NPI registry with number 1093864316 assigned on January 2007. The practitioner's primary taxonomy code is 251300000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Lisa Marie Buczek (Administrative Aide)

NPI
1093864316
Provider Name
PORT JERVIS CITY SCHOOL DISTRICT
Entity Type
Organization
Location Address
9 THOMPSON ST PORT JERVIS, NY 12771
Location Phone
(845) 858-3185
Location Fax
(845) 858-4211
Mailing Address
9 THOMPSON ST PORT JERVIS, NY 12771
Mailing Phone
(845) 858-3185
Mailing Fax
(845) 858-4211
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2007
Last Update Date
03-17-2015
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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

Local Education Agency (LEA)

Taxonomy Code
251300000X
Type
Agencies
License State
NY
Taxonomy Description
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

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.

*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

MRS. LISA MARIE BUCZEK

Authorized Official Title
ADMINISTRATIVE AIDE
Authorized Official Phone
(845) 858-3100

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
01380029MEDICAID (05)NY 

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
33D2012193
Facility Type
Community Clinic
Certificate Effective Date
July 15, 2014
Certificate Expiration Date
May 22, 2026
Laboratory Director
SAXENA RAKHEE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Port Jervis City School District on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for PORT JERVIS CITY SCHOOL DISTRICT

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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.
1093864316
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183166832
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 6 + 6 + 8 + 3 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1093864316 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073754016MS. TINA MARIE PFAFFE MASTER OF ARTS
Individual
Speech-Language Pathologist9 THOMPSON ST
PORT JERVIS, NY 12771
(845) 858-3100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093864316, enumerated in the NPI registry as an "organization" on January 09, 2007

The provider is located at 9 Thompson St Port Jervis, Ny 12771 and the phone number is (845) 858-3185

This medical organization specializes in Local Education Agency (LEA) with taxonomy code 251300000X

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

The provider's CLIA number is 33D2012193 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on January 09, 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].
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