FORDHAM PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1124524970
Surgery - Vascular Surgery in Bronx, NY

NPI Status: Active since April 02, 2018

Contact Information

11 E FORDHAM RD STE A
BRONX, NY
ZIP 10468
Phone: (847) 593-8460
Fax: (224) 235-4652

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  • Organization
  • Surgery
  • Vascular Surgery

About FORDHAM PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC

This page provides the complete NPI Profile along with additional information for Fordham Professional Medical Services Of New York Llc, a provider established in Bronx, New York operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1124524970 assigned on April 2018. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Fordham Professional Medical Services Of New York Llc 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 Yan Katsnelson M.d. (Owner)

NPI
1124524970
Provider Name
FORDHAM PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Entity Type
Organization
Location Address
11 E FORDHAM RD STE A BRONX, NY 10468
Location Phone
(847) 593-8460
Location Fax
(224) 235-4652
Mailing Address
304 WAINWRIGHT DR STE 110 NORTHBROOK, IL 60062
Mailing Phone
(224) 318-0118
Mailing Fax
(224) 235-4652
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2018
Last Update Date
04-02-2018
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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

YAN KATSNELSON M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(224) 318-0118

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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.
1124524970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21441028914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 0 + 2 + 8 + 9 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1124524970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124524970, enumerated in the NPI registry as an "organization" on April 02, 2018

The provider is located at 11 E Fordham Rd Ste A Bronx, Ny 10468 and the phone number is (847) 593-8460

This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

This NPI record was last updated on April 02, 2018. 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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