BAE SYSTEMS GREENLAWN NY
NPI 1578154928
Clinic/Center - Occupational Medicine in Greenlawn, NY

NPI Status: Active since January 28, 2021

Contact Information

450 PULASKI RD
GREENLAWN, NY
ZIP 11740
Phone: (631) 262-8026
Fax: (631) 262-8483

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 33D1099407
  • CLIA Cert. Type: Industrial
  • CLIA Exp. Date: 03-26-2027

About BAE SYSTEMS GREENLAWN NY

This page provides the complete NPI Profile along with additional information for Bae Systems Greenlawn Ny, a provider established in Greenlawn, New York operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1578154928 assigned on January 2021. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Bae Systems Greenlawn Ny. The authorized official of this NPI record is Dr. Jon Leizman Md (President)

NPI
1578154928
Provider Legal Name
PREMISE HEALTH OF NEW YORK MEDICAL, P.C
Other Organization Name
BAE SYSTEMS GREENLAWN NY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
450 PULASKI RD GREENLAWN, NY 11740
Location Phone
(631) 262-8026
Location Fax
(631) 262-8483
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2021
Last Update Date
08-16-2022
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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

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
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

DR. JON LEIZMAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 479-9063

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
33D1099407
Facility Type
Industrial
Certificate Effective Date
May 12, 2009
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. ALBERT F. RIELLY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bae Systems Greenlawn Ny 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.
1578154928
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514825894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 2 + 5 + 8 + 9 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1578154928 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578154928, enumerated in the NPI registry as an "organization" on January 28, 2021

The provider is located at 450 Pulaski Rd Greenlawn, Ny 11740 and the phone number is (631) 262-8026

This medical organization specializes in Clinic/Center with taxonomy code 261QX0100X with a focus in Occupational Medicine

The provider's CLIA number is 33D1099407 for a "industrial" 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 January 28, 2021. 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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