BLUE GREEN HORIZONS OFFICE BASED SURGERY PLLC
NPI 1073835641
Clinic/Center - Multi-Specialty in Brooklyn, NY
NPI Status: Active since February 23, 2010
Contact Information
200 BROOKLYN AVE
BROOKLYN, NY
ZIP 11213
Phone: (718) 498-7888
Fax: (718) 604-7890
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 33D1042763
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-18-2026
About BLUE GREEN HORIZONS OFFICE BASED SURGERY PLLC
This page provides the complete NPI Profile along with additional information for Blue Green Horizons Office Based Surgery Pllc, a provider established in Brooklyn, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1073835641 assigned on February 2010. The practitioner's primary taxonomy code is 261QM1300X with license number 176352 (NY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Shelby K. Samuel M.d. (Owner)
- NPI
- 1073835641
- Provider Name
- BLUE GREEN HORIZONS OFFICE BASED SURGERY PLLC
- Entity Type
- Organization
- Location Address
- 200 BROOKLYN AVE BROOKLYN, NY 11213
- Location Phone
- (718) 498-7888
- Location Fax
- (718) 604-7890
- Mailing Address
- 200 BROOKLYN AVE BROOKLYN, NY 11213
- Mailing Phone
- (718) 498-7888
- Mailing Fax
- (718) 604-7890
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2010
- Last Update Date
- 02-23-2010
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 176352
- License State
- 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
- 33D1042763
- Facility Type
- Physician Office
- Certificate Effective Date
- June 19, 2024
- Certificate Expiration Date
- June 18, 2026
- Laboratory Director
- DR. ZESONG ZHANG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Blue Green Horizons Office Based Surgery Pllc 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 1073835641, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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.
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
BROOKLYN, NY 11213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073835641, enumerated as an "organization" on February 23, 2010.
The provider is located at 200 BROOKLYN AVE BROOKLYN, NY 11213 and the phone number is (718) 498-7888.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
