WYCKOFF HEIGHTS MEDICAL CENTER
NPI 1023348570
General Acute Care Hospital in Brooklyn, NY

NPI Status: Active since January 06, 2010

Contact Information

374 STOCKHOLM ST
BROOKLYN, NY
ZIP 11237
Phone: (718) 963-7266

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
General Acute Care Hospital
CLIA Number: 33D2051323
CLIA Cert. Type: Community Clinic
CLIA Exp. Date: 03-26-2027

About WYCKOFF HEIGHTS MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Wyckoff Heights Medical Center, a provider established in Brooklyn, New York operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1023348570 assigned on January 2010. The practitioner's primary taxonomy code is 282N00000X with license number 013198 (NY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Elana Yusupova Rpa-c (Physician Assistant)

NPI: 1023348570
Provider Name: WYCKOFF HEIGHTS MEDICAL CENTER
Entity Type: Organization
Location Address: 374 STOCKHOLM ST BROOKLYN, NY 11237
Location Phone: (718) 963-7266
Mailing Address: 374 STOCKHOLM ST BROOKLYN, NY 11237
Mailing Phone: (718) 963-7266
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-06-2010
Last Update Date: 01-06-2010
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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: General Acute Care Hospital
Taxonomy Code: 282N00000X
Type: Hospitals
License No.: 013198
License State: NY
Taxonomy Description: An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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: ELANA YUSUPOVA RPA-C
Authorized Official Title: PHYSICIAN ASSISTANT
Authorized Official Phone: (917) 209-5745

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: 33D2051323
Facility Type: Community Clinic
Certificate Effective Date: December 18, 2012
Certificate Expiration Date: March 26, 2027
Laboratory Director: DR. WILHELMINA P. CRUZ-VETRANO
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Wyckoff Heights Medical Center 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.

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.
1	0	2	3	3	4	8	5	7	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	4	3	6	4	16	5	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 6 + 4 + 1 + 6 + 5 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1023348570 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MOUNZER TCHELEBI MD

Radiology

(Radiation Oncology)

374 STOCKHOLM ST
SUITE C 08
BROOKLYN, NY
ZIP 11237

About WYCKOFF HEIGHTS MEDICAL CENTER

Location Map

Specialty - Primary Taxonomy

General Acute Care Hospital

Authorized Official

ELANA YUSUPOVA RPA-C

CLIA Information

Reviews for WYCKOFF HEIGHTS MEDICAL CENTER

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is WYCKOFF HEIGHTS MEDICAL CENTER's NPI number?

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What is the provider's specialty?