KENNETH EWING, MD
NPI 1205052610
Clinic/Center - Medical Specialty in Port Washington, NY

NPI Status: Active since April 17, 2007

Contact Information

458 MAIN ST
PORT WASHINGTON, NY
ZIP 11050
Phone: (516) 883-7677

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  • Organization
  • Clinic/Center
  • Medical Specialty

About KENNETH EWING, MD

This page provides the complete NPI Profile along with additional information for Kenneth Ewing, Md, a provider established in Port Washington, New York operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1205052610 assigned on April 2007. The practitioner's primary taxonomy code is 261QM2500X with license number 109869 (NY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Donna Humphreys (Office Manager)

NPI
1205052610
Provider Name
KENNETH EWING, MD
Entity Type
Organization
Location Address
458 MAIN ST PORT WASHINGTON, NY 11050
Location Phone
(516) 883-7677
Mailing Address
458 MAIN ST PORT WASHINGTON, NY 11050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
08-22-2020
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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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
109869
License State
NY
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

DONNA HUMPHREYS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(516) 883-7677

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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.
1205052610
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220505462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 0 + 5 + 4 + 6 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1205052610 is valid because the calculated check digit 0 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
1346451929VANESSA PERO MEDICAL DIAGNOSTIC SERVICES PC
Organization
Internal Medicine (Cardiovascular Disease)458 MAIN ST
PORT WASHINGTON, NY 11050
(718) 267-8196

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205052610, enumerated in the NPI registry as an "organization" on April 17, 2007

The provider is located at 458 Main St Port Washington, Ny 11050 and the phone number is (516) 883-7677

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

This NPI record was last updated on April 17, 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].
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.