EXCELLA MEDICINE PC
NPI 1174812812
Internal Medicine in New York, NY

NPI Status: Active since April 04, 2011

Contact Information

4915 BROADWAY
SUITE 1G
NEW YORK, NY
ZIP 10034
Phone: (212) 544-9513
Fax: (212) 544-0402

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  • Organization
  • Internal Medicine

About EXCELLA MEDICINE PC

This page provides the complete NPI Profile along with additional information for Excella Medicine Pc, an internist established in New York, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1174812812 assigned on April 2011. The practitioner's primary taxonomy code is 207R00000X with license number 170543 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. Excella Medicine Pc 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 Michael Perez (Md)

NPI
1174812812
Provider Name
EXCELLA MEDICINE PC
Entity Type
Organization
Location Address
4915 BROADWAY SUITE 1G NEW YORK, NY 10034
Location Phone
(212) 544-9513
Location Fax
(212) 544-0402
Mailing Address
4915 BROADWAY SUITE 1G NEW YORK, NY 10034
Mailing Phone
(212) 544-9513
Mailing Fax
(212) 544-0402
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2011
Last Update Date
04-04-2011
Code Navigator

An internist like Excella Medicine Pc 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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
170543
License State
NY
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

170543 (NY)

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.

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.

*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

MICHAEL PEREZ

Authorized Official Title
MD
Authorized Official Phone
(212) 544-9513

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
01196487MEDICAID (05)NY 
P00633190OTHER (01)NYMEDICARE RAILROAD
F03310MEDICARE UPIN (02)NY 

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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.
1174812812
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144161482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 1 + 4 + 8 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1174812812 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801899828DR. EDGARD NAU D.P.M.
Individual
Podiatrist (Primary Podiatric Medicine)4915 BROADWAY SUITE 5B
NEW YORK, NY 10034
(212) 569-0269
1821069063 HARVEY STRAUSS
Individual
Podiatrist4915 BROADWAY
NEW YORK, NY 10034
(212) 569-5700
1073584892HARVEY STRAUSS DPM PC
Organization
Podiatrist4915 BROADWAY
NEW YORK, NY 10034
(212) 569-5700
1669418992DR. ELIZABETH YOUNGEWIRTH DPM
Individual
Podiatrist (Foot Surgery)4915 BROADWAY
NEW YORK, NY 10034
(212) 567-6126
1659390607PODIATRIC MEDICINE GROUP PC
Organization
Podiatrist4915 BROADWAY SUITE 1J
NEW YORK, NY 10034
(212) 569-5700
1558497958INWOOD PHARMACY INC
Organization
Pharmacy (Community/Retail Pharmacy)4915 BROADWAY
NEW YORK, NY 10034
(212) 304-4646
1538287982MISS MELANIE GOULD PA
Individual
Physician Assistant (Medical)4915 BROADWAY SUITE 1B
NEW YORK, NY 10034
(212) 567-9580
1205075587MANHATTAN MEDICAL OFFICE, P.C.
Organization
Obstetrics & Gynecology4915 BROADWAY SUITE 1K
NEW YORK, NY 10034
(212) 543-2500
1508198334MANHATTAN ENDOSCOPY PLLC
Organization
Clinic/Center (Endoscopy)4915 BROADWAY
NEW YORK, NY 10034
(212) 567-9580
1982988903BROADWAY MANHATTAN MEDICAL OFFICE, PC
Organization
Obstetrics & Gynecology (Gynecology)4915 BROADWAY STE 1K
NEW YORK, NY 10034
(212) 543-2500
1831443928MS. MARVEL L GAMBOA BILINGUAL SPECIAL ED
Individual
Specialist4915 BROADWAY 2G
NEW YORK, NY 10034
(646) 234-7408
1518246768DR. ELIEZER EISENBERGER D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)4915 BROADWAY SUITE 1J
NEW YORK, NY 10034
(212) 569-5700
1477748812MANHATTAN GASTROENTEROLOGY ASSOCIATES PC
Organization
Internal Medicine (Gastroenterology)4915 BROADWAY SUITE 1B
NEW YORK, NY 10034
(212) 567-9580
1336477660INWOOD PHARMA INC
Organization
Pharmacy (Community/Retail Pharmacy)4915 BROADWAY
NEW YORK, NY 10034
(212) 304-4646
1407361165 MARINA NATANOVA PHARMD
Individual
Pharmacist4915 BROADWAY
NEW YORK, NY 10034
(212) 304-4646
1851429955MR. BADRINATH A KUMAR M.PHARM, R.PH.
Individual
Pharmacist4915 BROADWAY
NEW YORK, NY 10034
(212) 304-4646
1730292772DR. THOMAS MICHAEL GOULD M.D.
Individual
Specialist4915 BROADWAY SUITE 1B
NEW YORK, NY 10034
(212) 567-9580
1316362577LEG FOOT & ANKLE ASSOCIATES PC
Organization
Podiatrist (Foot & Ankle Surgery)4915 BROADWAY SUITE #1J
NEW YORK, NY 10034
(845) 481-0272
1699945030E YOUNGEWIRTH DPM PLLC
Organization
Podiatrist (Foot Surgery)4915 BROADWAY
NEW YORK, NY 10034
(212) 567-6126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174812812, enumerated in the NPI registry as an "organization" on April 04, 2011

The provider is located at 4915 Broadway Suite 1g New York, Ny 10034 and the phone number is (212) 544-9513

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. 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 April 04, 2011. 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.