CS MEDICAL ASSOCIATES, P.C.
NPI 1194432815
Clinic/Center - Rehabilitation, Substance Use Disorder in Hicksville, NY

NPI Status: Active since November 02, 2022

Contact Information

120 BETHPAGE RD STE 101
HICKSVILLE, NY
ZIP 11801
Phone: (631) 696-4357

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 33D2271490
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About CS MEDICAL ASSOCIATES, P.C.

This page provides the complete NPI Profile along with additional information for Cs Medical Associates, P.c., a provider established in Hicksville, New York operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1194432815 assigned on November 2022. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Cs Medical Associates, 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 Tracey Wallace (Vp Operations)

NPI
1194432815
Provider Name
CS MEDICAL ASSOCIATES, P.C.
Entity Type
Organization
Location Address
120 BETHPAGE RD STE 101 HICKSVILLE, NY 11801
Location Phone
(631) 696-4357
Mailing Address
100 GRANNY RD FARMINGVILLE, NY 11738
Mailing Phone
(631) 696-4357
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-02-2022
Last Update Date
11-02-2022
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
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)
12083A0300XAllopathic & Osteopathic Physicians

Preventive Medicine
Addiction 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.

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

TRACEY WALLACE

Authorized Official Title
VP OPERATIONS
Authorized Official Phone
(631) 696-4357

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
05150629MEDICAID (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
33D2271490
Facility Type
Physician Office
Certificate Effective Date
November 02, 2022
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. PAOLO T. COPPOLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cs Medical Associates, P.c. 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.
1194432815
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118483482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 8 + 3 + 4 + 8 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1194432815 is valid because the calculated check digit 5 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 1194432815, enumerated in the NPI registry as an "organization" on November 02, 2022

The provider is located at 120 Bethpage Rd Ste 101 Hicksville, Ny 11801 and the phone number is (631) 696-4357

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

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 33D2271490 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 November 02, 2022. 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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