VICTORY INTERNAL MEDICINE, P.C.
NPI 1831129865
Internal Medicine in Staten Island, NY
NPI Status: Active since July 04, 2006
Contact Information
2315 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 477-6900
- Organization
- Internal Medicine
- CLIA Number: 33D2044292
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About VICTORY INTERNAL MEDICINE, P.C.
This page provides the complete NPI Profile along with additional information for Victory Internal Medicine, P.c., an internist established in Staten Island, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1831129865 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number 201641 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. Victory Internal Medicine, P.c. 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. Shye Wortman M.d. (President)
- NPI
- 1831129865
- Provider Name
- VICTORY INTERNAL MEDICINE, P.C.
- Entity Type
- Organization
- Location Address
- 2315 VICTORY BLVD STATEN ISLAND, NY 10314
- Location Phone
- (718) 477-6900
- Mailing Address
- 2315 VICTORY BLVD STATEN ISLAND, NY 10314
- Mailing Phone
- (718) 477-6900
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-04-2006
- Last Update Date
- 04-20-2008
- Code Navigator
An internist like Victory Internal Medicine, P.c. 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
- License No.
- 201641
- License State
- NY
- 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.
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.
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 |
|---|---|---|---|
| W35791 | MEDICARE PIN (08) | NY | |
| 7585094 | OTHER (01) | NY | AETNA PPO GROUP# |
| 2294955 | OTHER (01) | NY | AETNA HMO GROUP# |
| ========= | OTHER (01) | NY | TAX IDENTIFICATION # |
| CJ9386 | OTHER (01) | NY | RAILROAD MEDICARE GROUP# |
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
- 33D2044292
- Facility Type
- Physician Office
- Certificate Effective Date
- October 02, 2024
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. ELIYAHU S. KOPSTICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Victory Internal Medicine, P.c. 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. | |||||||||
| 1 | 8 | 3 | 1 | 1 | 2 | 9 | 8 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 2 | 2 | 18 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 2 + 2 + 1 + 8 + 8 + 1 + 2 + 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 1831129865 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 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194782300 | AKIVA BERGMAN M.D. Individual | Internal Medicine | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1144271917 | DR. SETH U BRUM M.D. Individual | Internal Medicine | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1306897327 | DR. LOUIS M EMMER M.D. Individual | Internal Medicine | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1275584138 | DR. SHYE S WORTMAN M.D. Individual | Internal Medicine | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1225083546 | DR. ELIYAHU SAMUEL KOPSTICK D.O Individual | Internal Medicine | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1588722417 | CATHERINE GUIDERA NP Individual | Nurse Practitioner | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1235439456 | DR. NEVEN I NASSIF M.D. Individual | Internal Medicine | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1447640024 | ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI Organization | Internal Medicine | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1720213606 | MELISSA MADALONE N.P. Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1588638142 | JONATHAN WEBER DPM Individual | Podiatrist | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 477-6900 |
| 1881737757 | DR. ALLA PLOTKINA D.O. Individual | Family Medicine | 2315 VICTORY BLVD STATEN ISLAND, NY 10314 (718) 974-0016 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831129865, enumerated in the NPI registry as an "organization" on July 04, 2006
The provider is located at 2315 Victory Blvd Staten Island, Ny 10314 and the phone number is (718) 477-6900
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare, Medicaid, Aetna and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 33D2044292 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 04, 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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