QLIMG RONKONKOMA MED OFFICE
NPI 1245310903
Allergy & Immunology in Lake Ronkonkoma, NY

NPI Status: Active since October 17, 2006

Contact Information

640 HAWKINS AVE
LAKE RONKONKOMA, NY
ZIP 11779
Phone: (631) 737-0100
Fax: (631) 471-1117

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  • Organization
  • Allergy & Immunology

About QLIMG RONKONKOMA MED OFFICE

This page provides the complete NPI Profile along with additional information for Qlimg Ronkonkoma Med Office, a provider established in Lake Ronkonkoma, New York operating as a Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1245310903 assigned on October 2006. The practitioner's primary taxonomy code is 207K00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Qlimg Ronkonkoma Med Office 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 Marlena Simpson (Director, Credentialing)

NPI
1245310903
Provider Name
QLIMG RONKONKOMA MED OFFICE
Entity Type
Organization
Location Address
640 HAWKINS AVE LAKE RONKONKOMA, NY 11779
Location Phone
(631) 737-0100
Location Fax
(631) 471-1117
Mailing Address
640 HAWKINS AVE LAKE RONKONKOMA, NY 11779
Mailing Phone
(631) 737-0100
Mailing Fax
(631) 471-1117
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2006
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

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

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)

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

MARLENA SIMPSON

Authorized Official Title
DIRECTOR, CREDENTIALING
Authorized Official Phone
(516) 542-6880

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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.
1245310903
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228561090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 1 + 0 + 9 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1245310903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174560684DR. BETTINA S. NIEDERER MD
Individual
Pediatrics640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1033157912 MICHAEL LEE MD
Individual
Internal Medicine640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1568401826 JOSEPH M CHANDRANKUNNEL MD
Individual
Internal Medicine640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1255370540 ANISA ALI-PEREZ PA
Individual
Physician Assistant640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1114966306 MARIE T POTTANAT MD
Individual
Internal Medicine640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1821135567MR. ANDREW WILLIAM CARADONA RPH
Individual
Pharmacist640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 471-1060
1619203262EYECARE ADVANTAGE, INC.
Organization
Eyewear Supplier640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1023349115MR. JOSEPH PATRICK FRANK R.PH.
Individual
Pharmacist640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 471-1060
1750552618 XIAOXIA GAO P.T.
Individual
Physical Therapist640 HAWKINS AVE
RONKONKOMA, NY 11779
(631) 737-0100
1962734541LONG ISLAND, QUEENS HEARING ASSO INC
Organization
Specialist640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(855) 423-3700
1609818772DR. PATRICIA M. NOLAN MD
Individual
Allergy & Immunology640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1104848811 MICHAEL GLADSTEIN MD
Individual
Dermatology640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1912109604MRS. SALMA AFROZE DO
Individual
Obstetrics & Gynecology640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1871546812 MOHINDER K GURAM MD
Individual
Pediatrics640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1699703843 IAN M WINKLER MD
Individual
Pediatrics640 HAWKINS AVE
RONKONKOMA, NY 11779
(631) 737-0100
1043240534 ROBERT FREDERICK MAZZEO MD
Individual
Family Medicine640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1033315775MS. DIANA KAPLINSKY D.O.
Individual
Internal Medicine640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1023245479 TARA K SINGH MD
Individual
Internal Medicine640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1790724557 ANANG MODI DO
Individual
Internal Medicine640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100
1225412208 JENNA M MCKENZIE FNP
Individual
Nurse Practitioner (Family)640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
(631) 737-0100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245310903, enumerated in the NPI registry as an "organization" on October 17, 2006

The provider is located at 640 Hawkins Ave Lake Ronkonkoma, Ny 11779 and the phone number is (631) 737-0100

This medical organization specializes in Allergy & Immunology with taxonomy code 207K00000X

This NPI record was last updated on October 17, 2006. 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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