PJACOBY, LLC
NPI 1912242520
Emergency Medicine in Woodbury, CT

NPI Status: Active since December 07, 2012

Contact Information

167 SPRAIN BROOK RD
WOODBURY, CT
ZIP 06798
Phone: (203) 709-6079

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  • Organization
  • Emergency Medicine

About PJACOBY, LLC

This page provides the complete NPI Profile along with additional information for Pjacoby, Llc, a provider established in Woodbury, Connecticut operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1912242520 assigned on December 2012. The practitioner's primary taxonomy code is 207P00000X with license number 0198781 (CT). The provider is registered as an organization and their NPI record was last updated 10 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 Dr. Peter Jacoby Md (Sole Member)

NPI
1912242520
Provider Name
PJACOBY, LLC
Entity Type
Organization
Location Address
167 SPRAIN BROOK RD WOODBURY, CT 06798
Location Phone
(203) 709-6079
Mailing Address
167 SPRAIN BROOK RD WOODBURY, CT 06798
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2012
Last Update Date
04-21-2015
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
0198781
License State
CT
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PETER JACOBY MD

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(203) 709-6079

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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.
1912242520
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292244454
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 4 + 4 + 4 + 5 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1912242520 is valid because the calculated check digit 0 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 1912242520, enumerated in the NPI registry as an "organization" on December 07, 2012

The provider is located at 167 Sprain Brook Rd Woodbury, Ct 06798 and the phone number is (203) 709-6079

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

This NPI record was last updated on December 07, 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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