HAZELDEN NEW YORK
NPI 1053605923
Clinic/Center - Rehabilitation, Substance Use Disorder in New York, NY
NPI Status: Active since June 08, 2011
Contact Information
283 W BROADWAY
NEW YORK, NY
ZIP 10013
Phone: (800) 257-7800
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- Accepts Insurance
- CLIA Number: 33D2072074
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 03-26-2027
About HAZELDEN NEW YORK
This page provides the complete NPI Profile along with additional information for Hazelden New York, a provider established in New York, New York operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1053605923 assigned on June 2011. The practitioner's primary taxonomy code is 261QR0405X with license number 070411517 (NY). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1053605923
- Provider Legal Name
- HAZELDEN NEW YORK
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 283 W BROADWAY NEW YORK, NY 10013
- Location Phone
- (800) 257-7800
- Mailing Address
- 15251 PLEASANT VALLEY RD CENTER CITY, MN 55012
- Mailing Phone
- (800) 257-7800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-08-2011
- Last Update Date
- 05-16-2025
- 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 Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 070411517
- License State
- NY
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 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DED - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DED - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 33D2072074
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- January 24, 2014
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. STANISLOV VOREL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hazelden New York 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 1053605923, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
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 47 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053605923, enumerated as an "organization" on June 08, 2011.
The provider is located at 283 W BROADWAY NEW YORK, NY 10013 and the phone number is (800) 257-7800.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: Quartz. Please consult your insurance carrier or call the provider to verify.
