PELHAM PKWY MEDICAL OF NEW YORK LLC
NPI 1285156067
Surgery - Vascular Surgery in Bronx, NY

NPI Status: Active since July 12, 2017

Contact Information

2157 WHITE PLAINS RD
BRONX, NY
ZIP 10462
Phone: (718) 301-1100
Fax: (224) 246-8042

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  • Organization
  • Surgery
  • Vascular Surgery

About PELHAM PKWY MEDICAL OF NEW YORK LLC

This page provides the complete NPI Profile along with additional information for Pelham Pkwy Medical Of New York Llc, a provider established in Bronx, New York operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1285156067 assigned on July 2017. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Pelham Pkwy Medical Of New York Llc 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 Ami Almeda (Credentialing Manager)

NPI
1285156067
Provider Name
PELHAM PKWY MEDICAL OF NEW YORK LLC
Entity Type
Organization
Location Address
2157 WHITE PLAINS RD BRONX, NY 10462
Location Phone
(718) 301-1100
Location Fax
(224) 246-8042
Mailing Address
304 WAINWRIGHT DR NORTHBROOK, IL 60062
Mailing Phone
(847) 257-1244
Mailing Fax
(224) 246-8042
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2017
Last Update Date
06-04-2020
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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

AMI ALMEDA

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(224) 318-0118

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
036113246MEDICAID (05)IL 

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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.
1285156067
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221652512012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 5 + 1 + 2 + 0 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1285156067 is valid because the calculated check digit 7 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
1013143692 BRETT JAMES WELKE M.D.
Individual
Radiology (Vascular & Interventional Radiology)2157 WHITE PLAINS RD
BRONX, NY 10462
(347) 824-8065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285156067, enumerated in the NPI registry as an "organization" on July 12, 2017

The provider is located at 2157 White Plains Rd Bronx, Ny 10462 and the phone number is (718) 301-1100

This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

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.

This NPI record was last updated on July 12, 2017. 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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