EASTCHESTER URGENT CARE
NPI 1558799395
Clinic/Center - Urgent Care in Eastchester, NY

NPI Status: Active since October 14, 2013

Contact Information

369 WHITE PLAINS RD
EASTCHESTER, NY
ZIP 10709
Phone: (914) 337-8743
Fax: (914) 337-8748

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 33D2068672
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-07-2025

About EASTCHESTER URGENT CARE

This page provides the complete NPI Profile along with additional information for Eastchester Urgent Care, a provider established in Eastchester, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1558799395 assigned on October 2013. The practitioner's primary taxonomy code is 261QU0200X with license number 190101-1 (NY). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Eastchester Urgent Care. The authorized official of this NPI record is Dr. Mack Lee Sullivan Md (Director Of Operations)

NPI
1558799395
Provider Legal Name
MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC
Other Organization Name
EASTCHESTER URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
369 WHITE PLAINS RD EASTCHESTER, NY 10709
Location Phone
(914) 337-8743
Location Fax
(914) 337-8748
Mailing Address
369 WHITE PLAINS RD EASTCHESTER, NY 10709
Mailing Phone
(914) 337-8743
Mailing Fax
(914) 337-8748
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2013
Last Update Date
06-30-2016
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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 Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
190101-1
License State
NY

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. MACK LEE SULLIVAN MD

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(914) 395-3691

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
33D2068672
Facility Type
Physician Office
Certificate Effective Date
November 08, 2023
Certificate Expiration Date
November 07, 2025
Laboratory Director
DR. ROBERT H. MEYER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eastchester Urgent Care 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.

Reviews for EASTCHESTER URGENT CARE

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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.
1558799395
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2510814918318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 1 + 4 + 9 + 1 + 8 + 3 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1558799395 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144633637FITNESS AND RECOVERY MEDICAL PRACTICE
Organization
Clinic/Center (Physical Therapy)369 WHITE PLAINS RD
EASTCHESTER, NY 10709
(914) 395-3691
1487993069 JENNIFER L. TRICOMI LMHC
Individual
Counselor (Mental Health)369 WHITE PLAINS RD
EASTCHESTER, NY 10709
(917) 828-3199
1790873172DR. STEVEN B SHAPIRO D.C.
Individual
Chiropractor369 WHITE PLAINS RD
EASTCHESTER, NY 10709
(914) 395-3691
1811363161FITNESS AND RECOVERY MEDICAL PRACTICE, PC
Organization
Physician Assistant369 WHITE PLAINS RD
EASTCHESTER, NY 10709
(914) 395-3691
1871963371 ANTONINA MICHELLI
Individual
Physician Assistant369 WHITE PLAINS RD
EASTCHESTER, NY 10709
(914) 395-3691
1619324431 SHIVANI SINGLA
Individual
Physical Therapist369 WHITE PLAINS RD
EASTCHESTER, NY 10709
(914) 395-3691
1568016228CITY MEDICAL OF UPPER EAST SIDE, PLLC
Organization
Clinic/Center (Urgent Care)369 WHITE PLAINS RD
EASTCHESTER, NY 10709
(914) 395-3691

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558799395, enumerated in the NPI registry as an "organization" on October 14, 2013

The provider is located at 369 White Plains Rd Eastchester, Ny 10709 and the phone number is (914) 337-8743

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider's CLIA number is 33D2068672 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 October 14, 2013. 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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