NORTH FORK MEDICAL PLLC
NPI 1528777810
Emergency Medicine in Wading River, NY

NPI Status: Active since November 16, 2022

Contact Information

6278 ROUTE 25A STE 4
WADING RIVER, NY
ZIP 11792
Phone: (631) 886-1500
Fax: (631) 886-1831

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  • Organization
  • Emergency Medicine

About NORTH FORK MEDICAL PLLC

This page provides the complete NPI Profile along with additional information for North Fork Medical Pllc, a provider established in Wading River, New York operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1528777810 assigned on November 2022. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 3 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 Neeta Mitchell Rn (Office Manager)

NPI
1528777810
Provider Name
NORTH FORK MEDICAL PLLC
Entity Type
Organization
Location Address
6278 ROUTE 25A STE 4 WADING RIVER, NY 11792
Location Phone
(631) 886-1500
Location Fax
(631) 886-1831
Mailing Address
6278 ROUTE 25A STE 4 WADING RIVER, NY 11792
Mailing Phone
(631) 886-1500
Mailing Fax
(631) 886-1831
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2022
Last Update Date
11-16-2022
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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.

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

NEETA MITCHELL RN

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(631) 886-1500

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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.
1528777810
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25481471482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 4 + 7 + 1 + 4 + 8 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528777810 is valid because the calculated check digit 0 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
1033826169 YVONNE MONTALVO
Individual
Massage Therapist6278 ROUTE 25A STE 4
WADING RIVER, NY 11792
(631) 886-1500
1871321224 MICHELLE EVE NADLER
Individual
Massage Therapist6278 ROUTE 25A STE 4
WADING RIVER, NY 11792
(631) 886-1500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528777810, enumerated in the NPI registry as an "organization" on November 16, 2022

The provider is located at 6278 Route 25a Ste 4 Wading River, Ny 11792 and the phone number is (631) 886-1500

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

This NPI record was last updated on November 16, 2022. 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.