JOSE SERRUYA, M.D.P.C.
NPI 1396985222
Specialist in Woodside, NY

NPI Status: Active since March 05, 2009

Contact Information

6907 43RD AVE
SUITE C2
WOODSIDE, NY
ZIP 11377
Phone: (718) 830-3772
Fax: (718) 255-1841

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  • Organization
  • Specialist

About JOSE SERRUYA, M.D.P.C.

This page provides the complete NPI Profile along with additional information for Jose Serruya, M.d.p.c., a provider established in Woodside, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1396985222 assigned on March 2009. The practitioner's primary taxonomy code is 174400000X with license number 207927 (NY). The provider is registered as an organization and their NPI record was last updated 16 years ago. Jose Serruya, M.d.p.c. 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 Dr. Jose I Serruya (President Of The Corporation)

NPI
1396985222
Provider Name
JOSE SERRUYA, M.D.P.C.
Entity Type
Organization
Location Address
6907 43RD AVE SUITE C2 WOODSIDE, NY 11377
Location Phone
(718) 830-3772
Location Fax
(718) 255-1841
Mailing Address
6907 43RD AVE SUITE C2 WOODSIDE, NY 11377
Mailing Phone
(718) 830-3772
Mailing Fax
(718) 255-1841
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2009
Last Update Date
03-05-2009
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
207927
License State
NY
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 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

DR. JOSE I SERRUYA

Authorized Official Title
PRESIDENT OF THE CORPORATION
Authorized Official Phone
(718) 830-3772

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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.
1396985222
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231861881024
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 8 + 8 + 1 + 0 + 2 + 4 + 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 1396985222 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609850296DR. JOSE I SERRUYA M.D.P.C.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)6907 43RD AVE SUITE C 2
WOODSIDE, NY 11377
(718) 830-3772
1336290402DR. MELVIN R VELAZQUEZ DDS
Individual
Dentist (General Practice)6907 43RD AVE SUITEC1
WOODSIDE, NY 11377
(718) 898-6010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396985222, enumerated in the NPI registry as an "organization" on March 05, 2009

The provider is located at 6907 43rd Ave Suite C2 Woodside, Ny 11377 and the phone number is (718) 830-3772

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on March 05, 2009. 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.