DOCTOR'S MEDICAL OFFICE PLLC
NPI 1164848818
Clinic/Center - Primary Care in Merrick, NY

NPI Status: Active since March 05, 2014

Contact Information

1825 MERRICK RD
MERRICK, NY
ZIP 11566
Phone: (516) 867-5132
Fax: (516) 867-5519

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 33D0869006
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-19-2027

About DOCTOR'S MEDICAL OFFICE PLLC

This page provides the complete NPI Profile along with additional information for Doctor's Medical Office Pllc, a primary care provider established in Merrick, New York operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1164848818 assigned on March 2014. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. Doctor's Medical Office Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Doctor's Medical Office Pllc. The authorized official of this NPI record is Dr. Mark Haltrecht Do (Manager/member)

NPI
1164848818
Provider Legal Name
DOCTORS MEDICAL OFFICE PLLC
Other Organization Name
DOCTOR'S MEDICAL OFFICE PLLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1825 MERRICK RD MERRICK, NY 11566
Location Phone
(516) 867-5132
Location Fax
(516) 867-5519
Mailing Address
1825 MERRICK RD MERRICK, NY 11566
Mailing Phone
(516) 867-5132
Mailing Fax
(516) 867-5519
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2014
Last Update Date
02-21-2024
Code Navigator

A primary care provider (PCP) like Doctor's Medical Office Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 389 Merrick Ave
    Merrick, NY 11566
    (516) 867-5132

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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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

DR. MARK HALTRECHT DO

Authorized Official Title
MANAGER/MEMBER
Authorized Official Phone
(516) 867-5132

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
33D0869006
Facility Type
Physician Office
Certificate Effective Date
January 20, 2025
Certificate Expiration Date
January 19, 2027
Laboratory Director
DR. MARK H. HALTRECHT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Doctor's Medical Office Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1164848818
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241641682
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 6 + 4 + 1 + 6 + 8 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1164848818 is valid because the calculated check digit 8 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
1255373098DR. DAVID TESSER MD
Individual
Plastic Surgery1825 MERRICK RD
MERRICK, NY 11566
(516) 377-2738
1013936426DR. JOHN P MELINSKI D.M.D
Individual
Dentist (Pediatric Dentistry)1825 MERRICK RD
MERRICK, NY 11566
(516) 379-7719
1295031888DR. HELGA MARIA GENTILE D.D.S.
Individual
Dentist (Pediatric Dentistry)1825 MERRICK RD
MERRICK, NY 11566
(516) 379-7719

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164848818, enumerated in the NPI registry as an "organization" on March 05, 2014

The provider is located at 1825 Merrick Rd Merrick, Ny 11566 and the phone number is (516) 867-5132

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 33D0869006 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 05, 2014. 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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