STARRETT CITY MEDICAL OF NEW YORK LLC
NPI 1043752785
Surgery - Vascular Surgery in Brooklyn, NY

NPI Status: Active since November 11, 2016

Contact Information

924 FLATBUSH AVE
BROOKLYN, NY
ZIP 11226
Phone: (718) 301-1100
Fax: (224) 246-8042

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  • Organization
  • Surgery
  • Vascular Surgery
  • CLIA Number: 33D2157739
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-12-2026

About STARRETT CITY MEDICAL OF NEW YORK LLC

This page provides the complete NPI Profile along with additional information for Starrett City Medical Of New York Llc, a provider established in Brooklyn, New York operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1043752785 assigned on November 2016. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Starrett City Medical Of New York Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Flora Katsnelson Md (Director)

NPI
1043752785
Provider Name
STARRETT CITY MEDICAL OF NEW YORK LLC
Entity Type
Organization
Location Address
924 FLATBUSH AVE BROOKLYN, NY 11226
Location Phone
(718) 301-1100
Location Fax
(224) 246-8042
Mailing Address
924 FLATBUSH AVE BROOKLYN, NY 11226
Mailing Phone
(718) 301-1100
Mailing Fax
(224) 246-8042
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2016
Last Update Date
11-11-2016
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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.

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

FLORA KATSNELSON MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(847) 257-1244

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
33D2157739
Facility Type
Physician Office
Certificate Effective Date
November 13, 2024
Certificate Expiration Date
November 12, 2026
Laboratory Director
MS. PATRICIA M. CLARKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Starrett City Medical Of New York Llc 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 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.
1043752785
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20831454716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 4 + 5 + 4 + 7 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1043752785 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043752785, enumerated as an "organization" on November 11, 2016.

The provider is located at 924 FLATBUSH AVE BROOKLYN, NY 11226 and the phone number is (718) 301-1100.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.