GOOD SAMARITAN HOSPITAL
NPI 1033401211
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in West Islip, NY

NPI Status: Active since May 06, 2011

Contact Information

1000 MONTAUK HIGHWAY
WEST ISLIP, NY
ZIP 11795
Phone: (631) 376-3069

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...
  • CLIA Number: 33D0159925
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-26-2027

About GOOD SAMARITAN HOSPITAL

This page provides the complete NPI Profile along with additional information for Good Samaritan Hospital, a provider established in West Islip, New York operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1033401211 assigned on May 2011. The practitioner's primary taxonomy code is 261QR0401X with license number 0160601 (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Miss Elizabeth Marion Jaquay Msotr/l (Occupational Therapist)

NPI
1033401211
Provider Name
GOOD SAMARITAN HOSPITAL
Entity Type
Organization
Location Address
1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795
Location Phone
(631) 376-3069
Mailing Address
1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2011
Last Update Date
05-06-2011
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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 Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities
License No.
0160601
License State
NY

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

MISS ELIZABETH MARION JAQUAY MSOTR/L

Authorized Official Title
OCCUPATIONAL THERAPIST
Authorized Official Phone
(631) 376-3076

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
33D0159925
Facility Type
Hospital
Certificate Effective Date
August 28, 1995
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. PRATIMA R. SAVARGAONKAR
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Good Samaritan Hospital 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 1033401211, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 3 → 6 4 → 8 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 8 + 0 + 2 + 2 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1033401211.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Anesthesiology
1000 MONTAUK HIGHWAY, GOOD SAMARITAN HOSP
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Anesthesiology
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Emergency Medicine
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Physician Assistant
1000 MONTAUK HIGHWAY, GOOD SAMARITAN HOSPITAL
WEST ISLIP, NY 11795
Pediatrics
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Anesthesiology
1000 MONTAUK HIGHWAY, GOOD SMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Physician Assistant (Surgical)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033401211, enumerated as an "organization" on May 06, 2011.

The provider is located at 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 and the phone number is (631) 376-3069.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).