PORT JEFFERSON SPECIALTY
NPI 1740241884
Orthopaedic Surgery in Port Jefferson, NY
NPI Status: Active since March 29, 2006
Contact Information
635 BELLE TERRE RD
SUITE #204
PORT JEFFERSON, NY
ZIP 11777
Phone: (631) 474-0008
Fax: (631) 474-0224
- Organization
- Orthopaedic Surgery
About PORT JEFFERSON SPECIALTY
This page provides the complete NPI Profile along with additional information for Port Jefferson Specialty, a provider established in Port Jefferson, New York operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1740241884 assigned on March 2006. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Port Jefferson Specialty. The authorized official of this NPI record is Mrs. Kristen Poje (Administrator)
- NPI
- 1740241884
- Provider Legal Name
- LONG ISLAND BONE AND JOINT
- Other Organization Name
- PORT JEFFERSON SPECIALTY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 635 BELLE TERRE RD SUITE #204 PORT JEFFERSON, NY 11777
- Location Phone
- (631) 474-0008
- Location Fax
- (631) 474-0224
- Mailing Address
- 635 BELLE TERRE RD SUITE #204 PORT JEFFERSON, NY 11777
- Mailing Phone
- (631) 474-0008
- Mailing Fax
- (631) 474-0224
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-29-2006
- Last Update Date
- 01-28-2015
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D91916 | MEDICARE UPIN (02) | NY | |
| 341171 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| 556G31 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| G68749 | MEDICARE UPIN (02) | NY | |
| 05F711 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| 3R4961 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| C08816 | MEDICARE UPIN (02) | NY | |
| WX0221 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| 1286620002 | MEDICARE NSC (07) | ||
| H13342 | MEDICARE UPIN (02) | NY | |
| H41912 | MEDICARE UPIN (02) | NY | |
| F22448 | MEDICARE UPIN (02) | NY | |
| 404F31 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| 79G771 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY |
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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 | 4 | 0 | 2 | 4 | 1 | 8 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 4 | 4 | 2 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 4 + 4 + 2 + 8 + 1 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1740241884 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891787438 | CHRISTOPHER J RHODES P.A. Individual | Physician Assistant (Surgical) | 635 BELLE TERRE RD SUITE 204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1245286806 | ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY PLLC Organization | Occupational Therapist | 635 BELLE TERRE RD SUITE 105 PORT JEFFERSON, NY 11777 (631) 331-3608 |
| 1225062581 | RONALD ROSSI RPA-C Individual | Physician Assistant | 635 BELLE TERRE RD SUITE 204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1619992963 | JENNIFER SABELLA OCCUPATIONAL THERAP Individual | Occupational Therapist (Hand) | 635 BELLE TERRE RD SUITE 105 PORT JEFFERSON, NY 11777 (631) 331-3608 |
| 1447260070 | DR. MICHAEL JOSEPH FRACCHIA MD Individual | Orthopaedic Surgery | 635 BELLE TERRE RD SUITE #204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1932119526 | BRIAN MCGINLEY MD Individual | Orthopaedic Surgery | 635 BELLE TERRE RD SUITE #204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1194737973 | MICHAEL SUZZIVALLI Individual | Physician Assistant | 635 BELLE TERRE RD SUITE #204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1942389010 | RICHARD DRANITZKE, MD Organization | Surgery | 635 BELLE TERRE RD PORT JEFFERSON, NY 11777 (631) 473-1602 |
| 1558498451 | MRS. BARBARA A HEIM OTRL Individual | Occupational Therapist (Pediatrics) | 635 BELLE TERRE RD SUITE 4 PORT JEFFERSON, NY 11777 (631) 928-2277 |
| 1629259668 | MRS. STEPHANIE NUCCI II PA Individual | Physician Assistant (Surgical) | 635 BELLE TERRE RD SUITE #204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1093987265 | UROLOGICAL ASSOCIATES OF LI, PC Organization | Specialist | 635 BELLE TERRE RD STE 202 PORT JEFFERSON, NY 11777 (631) 473-1058 |
| 1457672511 | ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY, PLLC Organization | Durable Medical Equipment & Medical Supplies (Customized Equipment) | 635 BELLE TERRE RD SUITE 105 PORT JEFFERSON, NY 11777 (631) 331-3608 |
| 1114006541 | DR. JAN S MILLER Individual | Dentist (General Practice) | 635 BELLE TERRE RD SUITE 103 PORT JEFFERSON, NY 11777 (631) 743-9090 |
| 1750546016 | RASEL RANA D.O. Individual | Orthopaedic Surgery | 635 BELLE TERRE RD SUITE 204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1063659431 | JAN S. MILLER Organization | Dentist | 635 BELLE TERRE RD SUITE 103 PORT JEFFERSON, NY 11777 (631) 743-9090 |
| 1972057529 | MATTHEW KLICS PA-C Individual | Physician Assistant (Surgical) | 635 BELLE TERRE RD SUITE 204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1821258880 | DR. JOHN J YU M.D. Individual | Orthopaedic Surgery | 635 BELLE TERRE RD SUITE 204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1033168687 | MR. BRIAN J HEIM PT Individual | Physical Therapist | 635 BELLE TERRE RD PORT JEFFERSON, NY 11777 (631) 928-2277 |
| 1558665414 | MISS KERRY LYNN JOHNSON PA Individual | Physician Assistant | 635 BELLE TERRE RD SUITE 204 PORT JEFFERSON, NY 11777 (631) 474-0008 |
| 1245554971 | KEVIN M O'CONNELL OTR Individual | Occupational Therapist | 635 BELLE TERRE RD SUITE 105 PORT JEFFERSON, NY 11777 (631) 331-3608 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740241884, enumerated in the NPI registry as an "organization" on March 29, 2006
The provider is located at 635 Belle Terre Rd Suite #204 Port Jefferson, Ny 11777 and the phone number is (631) 474-0008
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 29, 2006. 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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