USCG SECTOR NY CLINIC
NPI 1033204391
Clinic/Center - Military/U.S. Coast Guard Outpatient in Staten Island, NY
NPI Status: Active since October 04, 2006
Contact Information
215 DRUM RD
RM D-113
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 354-4414
Fax: (718) 354-4415
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
- CLIA Number: 33D1049060
- CLIA Cert. Type: Other - USCG
- CLIA Exp. Date: 07-19-2027
About USCG SECTOR NY CLINIC
This page provides the complete NPI Profile along with additional information for Uscg Sector Ny Clinic, a provider established in Staten Island, New York operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1033204391 assigned on October 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Sara Demers (Health Services Tech. 2nd Class)
- NPI
- 1033204391
- Provider Name
- USCG SECTOR NY CLINIC
- Entity Type
- Organization
- Location Address
- 215 DRUM RD RM D-113 STATEN ISLAND, NY 10305
- Location Phone
- (718) 354-4414
- Location Fax
- (718) 354-4415
- Mailing Address
- 438 USS IOWA CIR APT 5 STATEN ISLAND, NY 10305
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2006
- Last Update Date
- 08-22-2020
- Code Navigator
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 Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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
- 33D1049060
- Facility Type
- Other - USCG
- Certificate Effective Date
- July 20, 2025
- Certificate Expiration Date
- July 19, 2027
- Laboratory Director
- CAPT JOSEPH L. PEREZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Uscg Sector Ny Clinic 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 1033204391, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033204391, enumerated as an "organization" on October 04, 2006.
The provider is located at 215 DRUM RD RM D-113 STATEN ISLAND, NY 10305 and the phone number is (718) 354-4414.
Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.
