AXIS MEDICAL PLLC
NPI 1568916906
Nursing Facility/Intermediate Care Facility in Poughkeepsie, NY
NPI Status: Active since August 13, 2016
Contact Information
15 FULTON AVE
POUGHKEEPSIE, NY
ZIP 12603
Phone: (845) 473-8996
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 33D1083292
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-29-2026
About AXIS MEDICAL PLLC
This page provides the complete NPI Profile along with additional information for Axis Medical Pllc, a provider established in Poughkeepsie, New York operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1568916906 assigned on August 2016. The practitioner's primary taxonomy code is 313M00000X with license number F340980-1 (NY). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Deepesh Patel M.d. (President)
- NPI
- 1568916906
- Provider Name
- AXIS MEDICAL PLLC
- Entity Type
- Organization
- Location Address
- 15 FULTON AVE POUGHKEEPSIE, NY 12603
- Location Phone
- (845) 473-8996
- Mailing Address
- 15 FULTON AVE POUGHKEEPSIE, NY 12603
- Mailing Phone
- (845) 473-8996
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-13-2016
- Last Update Date
- 08-13-2016
- Code Navigator
Location Map
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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- F340980-1
- License State
- NY
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 302F00000X | Managed Care Organizations | Exclusive Provider Organization | F340980-1 (NY) |
| 2 | 305S00000X | Managed Care Organizations | Point of Service | F340980-1 (NY) |
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
- 33D1083292
- Facility Type
- Physician Office
- Certificate Effective Date
- April 30, 2024
- Certificate Expiration Date
- April 29, 2026
- Laboratory Director
- DR. PATEL S. DEEPESH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Axis Medical Pllc 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 AXIS MEDICAL PLLC
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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. | |||||||||
| 1 | 5 | 6 | 8 | 9 | 1 | 6 | 9 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 18 | 1 | 12 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 8 + 1 + 1 + 2 + 9 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1568916906 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720022486 | DEEPESH S PATEL M.D. Individual | Internal Medicine | 15 FULTON AVE LL POUGHKEEPSIE, NY 12603 (845) 473-8996 |
| 1952788648 | AMOY HINES Individual | Nurse Practitioner | 15 FULTON AVE POUGHKEEPSIE, NY 12603 (845) 473-8996 |
| 1063759629 | MAGEN ELIZABETH MULLANEY NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 15 FULTON AVE POUGHKEEPSIE, NY 12603 (845) 473-8996 |
| 1407247752 | MRS. GABRIELLA BERTA Individual | Nurse Practitioner (Family) | 15 FULTON AVE # LL POUGHKEEPSIE, NY 12603 (845) 473-8996 |
| 1003472556 | MISS LAURA ROBINSON FNP Individual | Nurse Practitioner (Family) | 15 FULTON AVE POUGHKEEPSIE, NY 12603 (845) 473-8996 |
| 1013047737 | ANTHONY R TARDIO MD PC Organization | Internal Medicine | 15 FULTON AVE POUGHKEEPSIE, NY 12603 (845) 471-5070 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568916906, enumerated in the NPI registry as an "organization" on August 13, 2016
The provider is located at 15 Fulton Ave Poughkeepsie, Ny 12603 and the phone number is (845) 473-8996
This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X
The provider's CLIA number is 33D1083292 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 August 13, 2016. 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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