MR. MAURICE BOTERO LICENSE MASSAGE THER
NPI 1457549503
Specialist in Elmhurst, NY

NPI Status: Active since October 12, 2007

Contact Information

4012 80TH ST
ELMHURST, NY
ZIP 11373
Phone: (718) 426-9595

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  • Individual
  • Male
  • Specialist

About MAURICE BOTERO

This page provides the complete NPI Profile along with additional information for Maurice Botero, a provider established in Elmhurst, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1457549503 assigned on October 2007. The practitioner's primary taxonomy code is 174400000X with license number 0208591 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1457549503
Provider Name
MR. MAURICE BOTERO LICENSE MASSAGE THER
Gender
Male
Entity Type
Individual
Location Address
4012 80TH ST ELMHURST, NY 11373
Location Phone
(718) 426-9595
Mailing Address
3433 90TH ST JACKSON HEIGHTS, NY 11372
Mailing Phone
(718) 457-1987
Is Sole Proprietor?
Yes
Enumeration Date
10-12-2007
Last Update Date
10-12-2007
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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.
0208591
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.

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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.
1457549503
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241071041850
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 0 + 4 + 1 + 8 + 5 + 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 1457549503 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 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124145289DR. ROMILLA ANWAR M.D.
Individual
Specialist4012 80TH ST
ELMHURST, NY 11373
(718) 426-9595
1033236229MR. SIMON BIDERMAN PHYSICAL THERAPIST
Individual
Physical Therapist4012 80TH ST
ELMHURST, NY 11373
(718) 426-9595
1730201575MRS. BERTHA LIGIA RIVERA ASSISTANT THERAPIST
Individual
Specialist4012 80TH ST
ELMHURST, NY 11373
(718) 426-9595
1912954140MR. BOGNAY DURY DOMANAS LICENSED PT
Individual
Physical Therapist4012 80TH ST
ELMHURST, NY 11373
(718) 426-9595
1043488943 EMMANUEL AGNANT PA
Individual
Physician Assistant4012 80TH ST
ELMHURST, NY 11373
(718) 886-9000
1982940268 SURAJ MATHIAL P.A
Individual
Physician Assistant4012 80TH ST
ELMHURST, NY 11373
(718) 551-0043
1144483843 MARIE CLAIRE LEGER MD
Individual
Dermatology4012 80TH ST
ELMHURST, NY 11373
(718) 886-9000
1235774811 SAMANTHA HUSSAIN PA
Individual
Physician Assistant (Medical)4012 80TH ST
ELMHURST, NY 11373
(718) 886-9000
1548270218DR. CHARLES C KWAK MD
Individual
Dermatology4012 80TH ST
ELMHURST, NY 11373
(718) 886-9000
1265789945 STACY W LI R-PAC
Individual
Physician Assistant4012 80TH ST
ELMHURST, NY 11373
(718) 886-9000
1528824232 CINDY HUANG PA-C
Individual
Physician Assistant4012 80TH ST
ELMHURST, NY 11373
(718) 886-9000
1881312924MISS CHOHEE PARK FNP
Individual
Nurse Practitioner (Family)4012 80TH ST
ELMHURST, NY 11373
(718) 886-9000
1609605492 PUI YI SIT PA
Individual
Physician Assistant (Medical)4012 80TH ST
ELMHURST, NY 11373
(718) 886-9000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457549503, enumerated in the NPI registry as an "individual" on October 12, 2007

The provider is located at 4012 80th St Elmhurst, Ny 11373 and the phone number is (718) 426-9595

The provider's speciality is Specialist with taxonomy code 174400000X

This NPI record was last updated on October 12, 2007. 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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