ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC
NPI 1013938174
Internal Medicine - Gastroenterology in Camillus, NY

NPI Status: Active since July 22, 2006

Contact Information

260 TOWNSHIP BLVD
STE 20
CAMILLUS, NY
ZIP 13031
Phone: (315) 708-0190
Fax: (315) 488-3284

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • CLIA Number: 33D2053918
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-26-2027

About ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC

This page provides the complete NPI Profile along with additional information for Associated Gastroenterologists Of Central New York, Pc, an internist established in Camillus, New York operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1013938174 assigned on July 2006. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Carol Gallup (Credentialing Coordinator)

NPI
1013938174
Provider Name
ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC
Entity Type
Organization
Location Address
260 TOWNSHIP BLVD STE 20 CAMILLUS, NY 13031
Location Phone
(315) 708-0190
Location Fax
(315) 488-3284
Mailing Address
260 TOWNSHIP BLVD STE 20 CAMILLUS, NY 13031
Mailing Phone
(315) 708-0091
Mailing Fax
(315) 488-3284
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
03-17-2018
Code Navigator

An internist like Associated Gastroenterologists Of Central New York, 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.

Location Map

Secondary Locations

  • 4870 Broad Rd Suite 3Q
    Syracuse, NY 13215
    (315) 492-5765

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 Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License State
NY
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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

CAROL GALLUP

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(315) 218-0085

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
00482137MEDICAID (05)NY 
CF1049OTHER (01)NYR/R MEDICARE
CC7979OTHER (01)NYR/R MEDICARE

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
33D2053918
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 18, 2018
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. CHRISTIAN N. EZIDIEGWU
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Associated Gastroenterologists Of Central New York, Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1013938174, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 1 → 2 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 2 + 3 + 1 + 8 + 3 + 1 + 6 + 1 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1013938174.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031
Internal Medicine (Gastroenterology)
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031
Nurse Practitioner (Adult Health)
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031
Internal Medicine (Gastroenterology)
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031
Internal Medicine (Gastroenterology)
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031
Internal Medicine (Gastroenterology)
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031
Internal Medicine (Gastroenterology)
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031
Internal Medicine (Gastroenterology)
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031
Internal Medicine (Gastroenterology)
260 TOWNSHIP BLVD, SUITE 20
CAMILLUS, NY 13031
Specialist
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031
Physician Assistant (Medical)
260 TOWNSHIP BLVD, STE 20
CAMILLUS, NY 13031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013938174, enumerated as an "organization" on July 22, 2006.

The provider is located at 260 TOWNSHIP BLVD STE 20 CAMILLUS, NY 13031 and the phone number is (315) 708-0190.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.