PECONIC BAY MEDICAL CENTER PROFESSIONAL GROUP PRACTICE
NPI 1043402050
Hospitalist in Riverhead, NY
NPI Status: Active since August 14, 2007
Contact Information
1300 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901
Phone: (631) 548-6116
Fax: (631) 548-6007
- Organization
- Hospitalist
- CLIA Number: 33D0008773
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-26-2027
About PECONIC BAY MEDICAL CENTER PROFESSIONAL GROUP PRACTICE
This page provides the complete NPI Profile along with additional information for Peconic Bay Medical Center Professional Group Practice, a provider established in Riverhead, New York operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1043402050 assigned on August 2007. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Peconic Bay Medical Center Professional Group Practice operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Peconic Bay Medical Center Professional Group Practice. The authorized official of this NPI record is Andrew Mitchell (President/ceo)
- NPI
- 1043402050
- Provider Legal Name
- CENTRAL SUFFOLK HOSPITAL
- Other Organization Name
- PECONIC BAY MEDICAL CENTER PROFESSIONAL GROUP PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1300 ROANOKE AVE RIVERHEAD, NY 11901
- Location Phone
- (631) 548-6116
- Location Fax
- (631) 548-6007
- Mailing Address
- 1300 ROANOKE AVE RIVERHEAD, NY 11901
- Mailing Phone
- (631) 548-6116
- Mailing Fax
- (631) 548-6007
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2007
- Last Update Date
- 03-19-2015
- 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
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
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.
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.
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 |
|---|---|---|---|
| CE0W708910 | MEDICARE PIN (08) | NY |
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
- 33D0008773
- Facility Type
- Hospital
- Certificate Effective Date
- August 28, 1995
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. SANDRA J. SHIN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Peconic Bay Medical Center Professional Group Practice 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 1043402050, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043402050, enumerated as an "organization" on August 14, 2007.
The provider is located at 1300 ROANOKE AVE RIVERHEAD, NY 11901 and the phone number is (631) 548-6116.
Hospitalist with taxonomy code 208M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
