UNITED HEALTHCARE COMMUNITY PLAN
NPI 1528296746
Health Maintenance Organization in New York, NY

NPI Status: Active since June 25, 2009

Contact Information

7 HANOVER SQ
5TH FLOOR
NEW YORK, NY
ZIP 10004
Phone: (212) 898-8441

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  • Health Maintenance Organization

About UNITED HEALTHCARE COMMUNITY PLAN

This page provides the complete NPI Profile along with additional information for United Healthcare Community Plan, a provider established in New York, New York operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1528296746 assigned on June 2009. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as United Healthcare Community Plan. The authorized official of this NPI record is Mr. Pasquale Celli (President/ceo)

NPI
1528296746
Provider Legal Name
UNITED HEALTHCARE OF NEW YORK, INC.
Other Organization Name
UNITED HEALTHCARE COMMUNITY PLAN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7 HANOVER SQ 5TH FLOOR NEW YORK, NY 10004
Location Phone
(212) 898-8441
Mailing Address
77 WATER STREET-14TH FLOOR ATTENTION: PLAN PRESIDENT/CEO NEW YORK, NY 10005
Mailing Phone
(212) 898-8429
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2009
Last Update Date
08-29-2012
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License State
NY
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

MR. PASQUALE CELLI

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(212) 898-8429

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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.
1528296746
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548491278
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 4 + 9 + 1 + 2 + 7 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1528296746 is valid because the calculated check digit 6 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
1538283338MR. JEFFREY ALAN BILFELD O.D
Individual
Technician/Technologist (Optician)7 HANOVER SQ OPTICAL INSIGHT
NEW YORK, NY 10004
(212) 943-2360
1568655975DR. ANTONIA SICILIANO O.D.
Individual
Optometrist (Corneal and Contact Management)7 HANOVER SQ
NEW YORK, NY 10004
(212) 943-2360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528296746, enumerated in the NPI registry as an "organization" on June 25, 2009

The provider is located at 7 Hanover Sq 5th Floor New York, Ny 10004 and the phone number is (212) 898-8441

This medical organization specializes in Health Maintenance Organization with taxonomy code 302R00000X

This NPI record was last updated on June 25, 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].
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