MYSTIC VALLEY UROLOGICAL ASSOCIATES INC.
NPI 1740295575
Urology in Stoneham, MA
NPI Status: Active since July 30, 2006
Contact Information
3 WOODLAND RD
SUITE 216
STONEHAM, MA
ZIP 02180
Phone: (781) 979-0661
Fax: (781) 979-0372
- Organization
- Urology
- CLIA Number: 22D0078984
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-12-2025
About MYSTIC VALLEY UROLOGICAL ASSOCIATES INC.
This page provides the complete NPI Profile along with additional information for Mystic Valley Urological Associates Inc., a provider established in Stoneham, Massachusetts operating as a Urology. The healthcare provider is registered in the NPI registry with number 1740295575 assigned on July 2006. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 9 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 authorized official of this NPI record is Marjie C Haluska (Director Of Business Operations)
- NPI
- 1740295575
- Provider Name
- MYSTIC VALLEY UROLOGICAL ASSOCIATES INC.
- Entity Type
- Organization
- Location Address
- 3 WOODLAND RD SUITE 216 STONEHAM, MA 02180
- Location Phone
- (781) 979-0661
- Location Fax
- (781) 979-0372
- Mailing Address
- 3 WOODLAND RD SUITE 216 STONEHAM, MA 02180
- Mailing Phone
- (781) 979-0661
- Mailing Fax
- (781) 979-0372
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-30-2006
- Last Update Date
- 11-07-2016
- 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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MA
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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.
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 |
|---|---|---|---|
| 0009638 | OTHER (01) | NHP | |
| M13568 | MEDICARE UPIN (02) | MA | |
| 600296 | OTHER (01) | TUFTS | |
| CL0638 | OTHER (01) | RRMED | |
| M13568 | OTHER (01) | MA | BCBSMA |
| 9723757 | MEDICAID (05) | MA | |
| 0180650001 | MEDICARE NSC (07) | MA | |
| 28749 | OTHER (01) | FALLON |
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
- 22D0078984
- Facility Type
- Physician Office
- Certificate Effective Date
- September 13, 2023
- Certificate Expiration Date
- September 12, 2025
- Laboratory Director
- PETER TIFFANY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mystic Valley Urological Associates Inc. 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 MYSTIC VALLEY UROLOGICAL ASSOCIATES INC.
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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 | 9 | 5 | 5 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 4 | 9 | 10 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 4 + 9 + 1 + 0 + 5 + 1 + 4 + 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 1740295575 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1255329652 | BEATRIX SYLVIE THOMAS MD Individual | Family Medicine | 3 WOODLAND RD SUITE 119 STONEHAM, MA 02180 (781) 665-7557 |
| 1558350934 | DR. TSAPMAN J. LEE M.D. Individual | Specialist | 3 WOODLAND RD SUITE 312 STONEHAM, MA 02180 (781) 662-0604 |
| 1447241922 | DR. KHETHER RABY MD Individual | Internal Medicine (Cardiovascular Disease) | 3 WOODLAND RD STE 422 NORTH SUBURBAN CARDIOLOGY STONEHAM, MA 02180 (781) 665-2525 |
| 1750363347 | FAMILY CARE CENTERS PC Organization | Family Medicine | 3 WOODLAND RD 100 STONEHAM, MA 02180 (781) 662-6400 |
| 1871575480 | WILLIAM J ZUCKER, MD Organization | Internal Medicine (Geriatric Medicine) | 3 WOODLAND RD 309 STONEHAM, MA 02180 (781) 665-0215 |
| 1982687703 | WINCHESTER PHYSICIAN ASSOCIATES Organization | Obstetrics & Gynecology | 3 WOODLAND RD 415 STONEHAM, MA 02180 (781) 979-0003 |
| 1699755074 | DR. ROBERT G. ALEXANDER M.D. Individual | Ophthalmology | 3 WOODLAND RD SUITE 112 STONEHAM, MA 02180 (781) 665-3773 |
| 1376515809 | NORTH SUBURBAN CARDIOLOGY ASSOCIATES P.C. Organization | Internal Medicine (Interventional Cardiology) | 3 WOODLAND RD SUITE 421 STONEHAM, MA 02180 (781) 665-2525 |
| 1962475392 | AFFILIATES IN FOOT CARE, PC Organization | Podiatrist (Foot Surgery) | 3 WOODLAND RD SUITE 411 STONEHAM, MA 02180 (781) 979-0919 |
| 1851366538 | MARYELIZABETH FLYNN-SHAW MSW Individual | Social Worker (Clinical) | 3 WOODLAND RD STE 418 STONEHAM, MA 02180 (781) 662-6213 |
| 1861469371 | MITCHELL ZAGER MD Individual | Obstetrics & Gynecology (Gynecology) | 3 WOODLAND RD STE 202 STONEHAM, MA 02180 (781) 662-7177 |
| 1942277512 | DR. DANIEL W. BIENKOWSKI M.D. Individual | Orthopaedic Surgery | 3 WOODLAND RD SUITE 318 STONEHAM, MA 02180 (781) 665-5000 |
| 1417924093 | DANIEL W. BIENKOWSKI M.D., P.C. Organization | Orthopaedic Surgery | 3 WOODLAND RD SUITE 318 STONEHAM, MA 02180 (781) 665-5000 |
| 1619946233 | CURTIS E BOWMAN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 3 WOODLAND RD SUITE 421 STONEHAM, MA 02180 (781) 665-2525 |
| 1447229810 | AUBREY DICKMAN MD Individual | Internal Medicine (Cardiovascular Disease) | 3 WOODLAND RD SUITE 421 STONEHAM, MA 02180 (781) 665-2525 |
| 1407810906 | ROSEMARY BILL- FLEURY NP Individual | Nurse Practitioner | 3 WOODLAND RD SUITE 421 STONEHAM, MA 02180 (781) 665-2525 |
| 1497706378 | DR. DARIUS M AMERI MD Individual | Surgery | 3 WOODLAND RD STONEHAM, MA 02180 (781) 662-2288 |
| 1144275231 | LINDA ANN COREY RN NP Individual | Nurse Practitioner | 3 WOODLAND RD SUITE 306 STONEHAM, MA 02180 (781) 665-3380 |
| 1407803133 | ROBERT PASTAN M.D. Individual | Internal Medicine (Rheumatology) | 3 WOODLAND RD SUITE 413 STONEHAM, MA 02180 (781) 662-7477 |
| 1750338331 | JOSEPH B TWICHELL M.D. Individual | Surgery | 3 WOODLAND RD SUITE 300 STONEHAM, MA 02180 (781) 662-7684 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740295575, enumerated in the NPI registry as an "organization" on July 30, 2006
The provider is located at 3 Woodland Rd Suite 216 Stoneham, Ma 02180 and the phone number is (781) 979-0661
This medical organization specializes in Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 22D0078984 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 July 30, 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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