TRU MEDICAL MANAGEMENT
NPI 1497161855
Clinic/Center - Primary Care in Brooklyn, NY

NPI Status: Active since July 07, 2014

Contact Information

774 BROADWAY STE 2B
BROOKLYN, NY
ZIP 11206
Phone: (473) 350-3053

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 33D2034258
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-19-2025

About TRU MEDICAL MANAGEMENT

This page provides the complete NPI Profile along with additional information for Tru Medical Management, a primary care provider established in Brooklyn, New York operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1497161855 assigned on July 2014. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Tru Medical Management. The authorized official of this NPI record is Hari Polavarapu (Director)

NPI
1497161855
Provider Legal Name
HP MEDICAL PC
Other Organization Name
TRU MEDICAL MANAGEMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
774 BROADWAY STE 2B BROOKLYN, NY 11206
Location Phone
(473) 350-3053
Mailing Address
15 WILLIAM ST APT 16H NEW YORK, NY 10005
Mailing Phone
(917) 454-8474
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2014
Last Update Date
04-29-2021
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A primary care provider (PCP) like Tru Medical Management sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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

HARI POLAVARAPU

Authorized Official Title
DIRECTOR
Authorized Official Phone
(347) 335-0305

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
33D2034258
Facility Type
Physician Office
Certificate Effective Date
December 20, 2023
Certificate Expiration Date
December 19, 2025
Laboratory Director
DR. HARI POLAVARAPU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tru Medical Management to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1497161855
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187262810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 6 + 2 + 8 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1497161855 is valid because the calculated check digit 5 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
1619545951 MARISOL GALLO JALIL DNP
Individual
Nurse Practitioner (Adult Health)774 BROADWAY STE 2B
BROOKLYN, NY 11206
(347) 335-0305
1619944550HP MEDICAL PC
Organization
Internal Medicine774 BROADWAY STE 2B
BROOKLYN, NY 11206
(347) 335-0305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497161855, enumerated in the NPI registry as an "organization" on July 07, 2014

The provider is located at 774 Broadway Ste 2b Brooklyn, Ny 11206 and the phone number is (473) 350-3053

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 33D2034258 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 07, 2014. 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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