MAMARONECK MEDICAL, PLLC
NPI 1992101984
Family Medicine in Mamaroneck, NY

NPI Status: Active since November 18, 2014

Contact Information

933 MAMARONECK AVE
SUITE 102
MAMARONECK, NY
ZIP 10543
Phone: (914) 523-1948

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  • Organization
  • Family Medicine
  • CLIA Number: 33D2086631
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-06-2026

About MAMARONECK MEDICAL, PLLC

This page provides the complete NPI Profile along with additional information for Mamaroneck Medical, Pllc, a primary care provider established in Mamaroneck, New York operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1992101984 assigned on November 2014. The practitioner's primary taxonomy code is 207Q00000X with license number 218148 (NY). 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. Lili Kung M.d. (Physician)

NPI
1992101984
Provider Name
MAMARONECK MEDICAL, PLLC
Entity Type
Organization
Location Address
933 MAMARONECK AVE SUITE 102 MAMARONECK, NY 10543
Location Phone
(914) 523-1948
Mailing Address
PO BOX 204 MAMARONECK, NY 10543
Mailing Phone
(914) 523-1948
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2014
Last Update Date
07-06-2015
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A primary care provider (PCP) like Mamaroneck Medical, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
218148
License State
NY
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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. LILI KUNG M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(914) 523-1948

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
33D2086631
Facility Type
Physician Office
Certificate Effective Date
November 07, 2024
Certificate Expiration Date
November 06, 2026
Laboratory Director
DR. LILI KUNG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mamaroneck Medical, Pllc 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.
1992101984
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182202916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 2 + 0 + 2 + 9 + 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 = 44

The NPI number 1992101984 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 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235134636 PATRICIA L BESSONE PHYCISAL THERAPIST
Individual
Physical Therapist933 MAMARONECK AVE STE 202
MAMARONECK, NY 10543
(914) 381-0077
1740253830DR. RICHARD CLARKE BUZIN D.M.D.
Individual
Dentist (General Practice)933 MAMARONECK AVE SUITE 101
MAMARONECK, NY 10543
(914) 698-5228
1912960626DR. BRIAN DAVID FENGEL O.D.
Individual
Optometrist933 MAMARONECK AVE SUITE 105
MAMARONECK, NY 10543
(914) 698-2182
1013029925DR. MARTIN H DIAMOND DMD
Individual
Dentist (Endodontics)933 MAMARONECK AVE
MAMARONECK, NY 10543
(914) 698-6811
1164542916LARCHMONT MAMARONECK EYE CARE GROUP
Organization
Optometrist933 MAMARONECK AVE
MAMARONECK, NY 10543
(914) 698-2182
1053609545WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
Organization
Internal Medicine (Cardiovascular Disease)933 MAMARONECK AVE
MAMARONECK, NY 10543
(914) 698-2056
1982868733 ALANA MILLINGS LMFT
Individual
Marriage & Family Therapist933 MAMARONECK AVE SUITE 202
MAMARONECK, NY 10543
(347) 878-6170
1437543824MS. SERENA WOROGLIAN M.A.
Individual
Counselor (Mental Health)933 MAMARONECK AVE SUITE 202
MAMARONECK, NY 10543
(917) 724-1881
1770978892MONTEFIORE MEDICAL CENTER
Organization
Clinic/Center933 MAMARONECK AVE
MAMARONECK, NY 10543
(914) 968-2056
1841652575 BARBRA WALDFOGEL LCSW
Individual
Social Worker (Clinical)933 MAMARONECK AVE SUITE 202
MAMARONECK, NY 10543
(914) 920-3801
1871938258DR. LISA MOSES PSY.D.
Individual
Psychologist (Clinical)933 MAMARONECK AVE SUITE 202
MAMARONECK, NY 10543
(347) 645-2445
1457598708DR. XIU-MIN LI MD
Individual
Acupuncturist933 MAMARONECK AVE
MAMARONECK, NY 10543
(914) 257-3754

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992101984, enumerated in the NPI registry as an "organization" on November 18, 2014

The provider is located at 933 Mamaroneck Ave Suite 102 Mamaroneck, Ny 10543 and the phone number is (914) 523-1948

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 33D2086631 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 November 18, 2014. 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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