MARINE PARK RADIOLOGY PC
NPI 1053362699
Radiology - Diagnostic Radiology in Brooklyn, NY

NPI Status: Active since May 15, 2006

Contact Information

2270 KIMBALL STREET
STE 102
BROOKLYN, NY
ZIP 11234
Phone: (718) 253-6616
Fax: (718) 253-7059

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 33D0860120
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 03-26-2027

About MARINE PARK RADIOLOGY PC

This page provides the complete NPI Profile along with additional information for Marine Park Radiology Pc, a provider established in Brooklyn, New York operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1053362699 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Marine Park Radiology Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Harold R Tanenbaum M.d. (Medical Director)

NPI
1053362699
Provider Name
MARINE PARK RADIOLOGY PC
Entity Type
Organization
Location Address
2270 KIMBALL STREET STE 102 BROOKLYN, NY 11234
Location Phone
(718) 253-6616
Location Fax
(718) 253-7059
Mailing Address
2270 KIMBALL STREET STE 102 BROOKLYN, NY 11234
Mailing Phone
(718) 253-6616
Mailing Fax
(718) 253-7059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2006
Last Update Date
11-04-2024
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
12085N0700XAllopathic & Osteopathic Physicians

Radiology
Neuroradiology

 
22085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

 

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.

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

HAROLD R TANENBAUM M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(718) 253-6616

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
02358643MEDICAID (05)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
33D0860120
Facility Type
Independent
Certificate Effective Date
May 15, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MAQSOOD A. SHEIKH
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Marine Park Radiology Pc 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 1053362699, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
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 5 → 10 → 1 3 → 6 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 6 + 6 + 4 + 6 + 1 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053362699.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine
2270 KIMBALL STREET, TRAUBE MARUSH PLAWES MD PC
BROOKLYN, NY 11234
Internal Medicine (Cardiovascular Disease)
2270 KIMBALL STREET, TRAUBE MARUSH PLAWES MD PC
BROOKLYN, NY 11234
Internal Medicine (Cardiovascular Disease)
2270 KIMBALL STREET, SUITE 210
BROOKLYN, NY 11234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053362699, enumerated as an "organization" on May 15, 2006.

The provider is located at 2270 KIMBALL STREET STE 102 BROOKLYN, NY 11234 and the phone number is (718) 253-6616.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.