WOODSIDE MEDICAL DIAGNOSTIC, PC.
NPI 1952505331
Internal Medicine in Woodside, NY

NPI Status: Active since June 12, 2007

Contact Information

3120 54TH ST
SUITE L2
WOODSIDE, NY
ZIP 11377
Phone: (718) 476-5859
Fax: (718) 476-9859

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  • Organization
  • Internal Medicine

About WOODSIDE MEDICAL DIAGNOSTIC, PC.

This page provides the complete NPI Profile along with additional information for Woodside Medical Diagnostic, Pc., an internist established in Woodside, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1952505331 assigned on June 2007. The practitioner's primary taxonomy code is 207R00000X with license number 178659 (NY). The provider is registered as an organization and their NPI record was last updated 15 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 Endora I. Dragomir (Biller)

NPI
1952505331
Provider Name
WOODSIDE MEDICAL DIAGNOSTIC, PC.
Entity Type
Organization
Location Address
3120 54TH ST SUITE L2 WOODSIDE, NY 11377
Location Phone
(718) 476-5859
Location Fax
(718) 476-9859
Mailing Address
3120 54TH ST SUITE L2 WOODSIDE, NY 11377
Mailing Phone
(718) 476-5859
Mailing Fax
(718) 476-9859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2007
Last Update Date
04-14-2010
Code Navigator

An internist like Woodside Medical Diagnostic, Pc. 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.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
178659
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 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.

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

ENDORA I. DRAGOMIR

Authorized Official Title
BILLER
Authorized Official Phone
(718) 545-5947

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
E57629MEDICARE UPIN (02)NY 
01130987MEDICAID (05)NY 
07607MEDICARE 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.
1952505331
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291021001036
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 0 + 0 + 1 + 0 + 3 + 6 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1952505331 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841512951INTEGRATIVE NEUROLOGY
Organization
Neuromusculoskeletal Medicine & OMM3120 54TH ST SUITE L2
WOODSIDE, NY 11377
(718) 476-5859
1467765537 ANAMARIA NICOLETA BOSTAN MA SLP
Individual
Speech-Language Pathologist3120 54TH ST APT# 5C
WOODSIDE, NY 11377
(646) 750-6892
1053398685 POMPEIU VLAD VLADUTIU MD
Individual
Internal Medicine (Cardiovascular Disease)3120 54TH ST
WOODSIDE, NY 11377
(516) 320-0444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952505331, enumerated in the NPI registry as an "organization" on June 12, 2007

The provider is located at 3120 54th St Suite L2 Woodside, Ny 11377 and the phone number is (718) 476-5859

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

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 June 12, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.