AVALON MEDICAL CENTER, LLC
NPI 1003591447
Clinic/Center in New Windsor, NY

NPI Status: Active since June 21, 2023

Contact Information

121 EXECUTIVE DR STE 200
NEW WINDSOR, NY
ZIP 12553
Phone: (845) 407-0770

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  • Organization
  • Clinic/Center
  • CLIA Number: 33D2281483
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-26-2027

About AVALON MEDICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Avalon Medical Center, Llc, a provider established in New Windsor, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1003591447 assigned on June 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Avalon Medical Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Arthur Kostanian (Member)

NPI
1003591447
Provider Name
AVALON MEDICAL CENTER, LLC
Entity Type
Organization
Location Address
121 EXECUTIVE DR STE 200 NEW WINDSOR, NY 12553
Location Phone
(845) 407-0770
Mailing Address
121 EXECUTIVE DR STE 200 NEW WINDSOR, NY 12553
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2023
Last Update Date
06-22-2023
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1111N00000XChiropractic Providers

Chiropractor

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
4207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
5208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
62081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

 
72085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
8213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 
9225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
10261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
11261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 
12261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 

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.

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

ARTHUR KOSTANIAN

Authorized Official Title
MEMBER
Authorized Official Phone
(718) 838-0640

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
33D2281483
Facility Type
Community Clinic
Certificate Effective Date
May 08, 2023
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. FRANCIS O. AMARTEIFIO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avalon Medical Center, Llc 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003591447, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 0 + 9 + 2 + 4 + 8 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1003591447.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003591447, enumerated as an "organization" on June 21, 2023.

The provider is located at 121 EXECUTIVE DR STE 200 NEW WINDSOR, NY 12553 and the phone number is (845) 407-0770.

Clinic/Center with taxonomy code 261Q00000X.