LONG RIDGE DERMATOLOGY,LLC
NPI 1326100553
Specialist in Stamford, CT
NPI Status: Active since December 14, 2006
Contact Information
1051 LONG RIDGE RD
STAMFORD, CT
ZIP 06903
Phone: (203) 329-7960
Fax: (203) 329-7920
- Organization
- Specialist
- CLIA Number: 07D1105416
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-27-2026
About LONG RIDGE DERMATOLOGY,LLC
This page provides the complete NPI Profile along with additional information for Long Ridge Dermatology,llc, a provider established in Stamford, Connecticut operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1326100553 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X with license number 035805 (CT). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Patty Quick Cpc (Office Manager)
- NPI
- 1326100553
- Provider Name
- LONG RIDGE DERMATOLOGY,LLC
- Entity Type
- Organization
- Location Address
- 1051 LONG RIDGE RD STAMFORD, CT 06903
- Location Phone
- (203) 329-7960
- Location Fax
- (203) 329-7920
- Mailing Address
- 1051 LONG RIDGE RD STAMFORD, CT 06903
- Mailing Phone
- (203) 329-7960
- Mailing Fax
- (203) 329-7920
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 035805
- License State
- CT
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 07D1105416
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2024
- Certificate Expiration Date
- October 27, 2026
- Laboratory Director
- DONALD A. SAVITZ
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Long Ridge Dermatology,llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 3 | 2 | 6 | 1 | 0 | 0 | 5 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 2 | 0 | 0 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 2 + 0 + 0 + 5 + 1 + 0 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1326100553 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407849912 | DR. DONALD ALFRED SAVITZ M.D. Individual | Specialist | 1051 LONG RIDGE RD STAMFORD, CT 06903 (203) 329-7960 |
| 1396730610 | DR. RENA CHASE FORTIER MD Individual | Specialist | 1051 LONG RIDGE RD STAMFORD, CT 06903 (203) 329-7960 |
| 1649352964 | DR. MICHAEL A JACOBSON M.D. Individual | Dermatology | 1051 LONG RIDGE RD STAMFORD, CT 06903 (203) 329-7960 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326100553, enumerated in the NPI registry as an "organization" on December 14, 2006
The provider is located at 1051 Long Ridge Rd Stamford, Ct 06903 and the phone number is (203) 329-7960
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider's CLIA number is 07D1105416 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on December 14, 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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