MARC ANTHONY MORTELLARO
NPI 1720577133
Specialist/Technologist - Athletic Trainer in New York, NY
NPI Status: Active since May 02, 2018
Contact Information
622 W 168TH ST PH 11
NEW YORK, NY
ZIP 10032
Phone: (212) 305-6445
Fax: (212) 305-4040
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About MARC MORTELLARO
This page provides the complete NPI Profile along with additional information for Marc Mortellaro, a provider established in New York, New York with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1720577133 assigned on May 2018. The practitioner's primary taxonomy code is 2255A2300X with license number 001899 (NY). The provider is registered as an individual and his NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1720577133
- Provider Name
- MARC ANTHONY MORTELLARO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 622 W 168TH ST PH 11 NEW YORK, NY 10032
- Location Phone
- (212) 305-6445
- Location Fax
- (212) 305-4040
- Mailing Address
- 622 W 168TH ST PH 11 NEW YORK, NY 10032
- Mailing Phone
- (212) 305-6445
- Mailing Fax
- (212) 305-4040
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-02-2018
- Last Update Date
- 05-02-2018
- 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
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 001899
- License State
- NY
- Taxonomy Description
- Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
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.
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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 | 7 | 2 | 0 | 5 | 7 | 7 | 1 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 10 | 7 | 14 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 1 + 0 + 7 + 1 + 4 + 1 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1720577133 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477767606 | MS. MAIKEN JACOBS MA Individual | Occupational Therapist | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-3521 |
| 1821625732 | PETER C NOBACK MD Individual | Student in an Organized Health Care Education/Training Program | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-5976 |
| 1578190534 | WILLIAM KEALY CROCKATT Individual | Student in an Organized Health Care Education/Training Program | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-5976 |
| 1851972327 | DR. EMMA ROSE WOLFF BERUBE MD Individual | Student in an Organized Health Care Education/Training Program | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-5974 |
| 1699415307 | AARON Z CHEN MD Individual | Student in an Organized Health Care Education/Training Program | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-5974 |
| 1710689310 | TIFFANY ASHLEY SMITH MD Individual | Student in an Organized Health Care Education/Training Program | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (973) 796-7146 |
| 1992406128 | PAUL D LIVE ATC Individual | Specialist/Technologist (Athletic Trainer) | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (914) 787-3283 |
| 1750559597 | JOSEPH LEO CICCONE DPT Individual | Physical Therapist (Orthopedic) | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-5974 |
| 1467211896 | DR. CRISTINA ROSE DELPRETE MD Individual | Student in an Organized Health Care Education/Training Program | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-2862 |
| 1780446906 | EMMA GUO PA-C Individual | Physician Assistant | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-5974 |
| 1538629589 | GEORDIE CLAIRE LONZA MD Individual | Orthopaedic Surgery | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-8193 |
| 1235792615 | DR. JOSEPHINE ROSE COURY MD Individual | Orthopaedic Surgery | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-5976 |
| 1699235994 | ANTHONY HANZCHUNG ZOU MD Individual | Orthopaedic Surgery | 622 W 168TH ST PH 11 NEW YORK, NY 10032 (212) 305-2862 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720577133, enumerated in the NPI registry as an "individual" on May 02, 2018
The provider is located at 622 W 168th St Ph 11 New York, Ny 10032 and the phone number is (212) 305-6445
The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer
This NPI record was last updated on May 02, 2018. 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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