CORONA MEDICAL PC
NPI 1699026385
Internal Medicine in Elmhurst, NY
NPI Status: Active since September 21, 2012
Contact Information
40-11 WARREN ST
2ND FLOOR
ELMHURST, NY
ZIP 11373
Phone: (718) 426-8100
Fax: (718) 396-0407
- Organization
- Internal Medicine
- CLIA Number: 33D2176839
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2025
About CORONA MEDICAL PC
This page provides the complete NPI Profile along with additional information for Corona Medical Pc, an internist established in Elmhurst, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1699026385 assigned on September 2012. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Corona Medical Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Afshin Tavakoly M.d. (Officer/physician)
- NPI
- 1699026385
- Provider Name
- CORONA MEDICAL PC
- Entity Type
- Organization
- Location Address
- 40-11 WARREN ST 2ND FLOOR ELMHURST, NY 11373
- Location Phone
- (718) 426-8100
- Location Fax
- (718) 396-0407
- Mailing Address
- PO BOX 650067 FRESH MEADOWS, NY 11365
- Mailing Phone
- (917) 605-7233
- Mailing Fax
- (718) 396-0407
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2012
- Last Update Date
- 10-30-2024
- Code Navigator
An internist like Corona Medical Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 33D2176839
- Facility Type
- Physician Office
- Certificate Effective Date
- August 01, 2020
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- DR. AFSHIN TAVAKOLY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Corona Medical Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 6 | 9 | 9 | 0 | 2 | 6 | 3 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 0 | 2 | 12 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 0 + 2 + 1 + 2 + 3 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1699026385 is valid because the calculated check digit 5 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 1699026385, enumerated in the NPI registry as an "organization" on September 21, 2012
The provider is located at 40-11 Warren St 2nd Floor Elmhurst, Ny 11373 and the phone number is (718) 426-8100
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 33D2176839 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 21, 2012. 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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