SOUTHAMPTON PATIENT COORDINATION LLC
NPI 1225483332
Public Health or Welfare in Southampton, PA

NPI Status: Active since April 26, 2016

Contact Information

1018 STREET RD
SOUTHAMPTON, PA
ZIP 18966
Phone: (267) 538-8610

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  • Organization
  • Public Health or Welfare
  • CLIA Number: 39D2098001
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-28-2025

About SOUTHAMPTON PATIENT COORDINATION LLC

This page provides the complete NPI Profile along with additional information for Southampton Patient Coordination Llc, a provider established in Southampton, Pennsylvania operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1225483332 assigned on April 2016. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Yefim Gorberg (Owner)

NPI
1225483332
Provider Name
SOUTHAMPTON PATIENT COORDINATION LLC
Entity Type
Organization
Location Address
1018 STREET RD SOUTHAMPTON, PA 18966
Location Phone
(267) 538-8610
Mailing Address
122 STEPHENSON WAY HUNTINGDON VALLEY, PA 19006
Mailing Phone
(267) 538-8610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2016
Last Update Date
04-26-2016
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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

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies

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)
1251S00000XAgencies

Community/Behavioral Health

 

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

MR. YEFIM GORBERG

Authorized Official Title
OWNER
Authorized Official Phone
(267) 538-8610

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
39D2098001
Facility Type
Physician Office
Certificate Effective Date
June 29, 2023
Certificate Expiration Date
June 28, 2025
Laboratory Director
DR. ROBERT J. CHALFIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southampton Patient Coordination Llc 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.
1225483332
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
224588636
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 8 + 8 + 6 + 3 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1225483332 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801892278 SHARON DYCKMAN M.D.
Individual
Ophthalmology1018 STREET RD
SOUTHAMPTON, PA 18966
(215) 322-8338
1700113511PREMIUM EYE SURGEONS INC
Organization
Ophthalmology1018 STREET RD
SOUTHAMPTON, PA 18966
(215) 928-3130
1265599492OAKES CHIROPRACTIC, INC.
Organization
Chiropractor1018 STREET RD SUITE 203
SOUTHAMPTON, PA 18966
(215) 357-7340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225483332, enumerated in the NPI registry as an "organization" on April 26, 2016

The provider is located at 1018 Street Rd Southampton, Pa 18966 and the phone number is (267) 538-8610

This medical organization specializes in Public Health or Welfare with taxonomy code 251K00000X

The provider's CLIA number is 39D2098001 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 April 26, 2016. 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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