OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN
NPI 1073919973
Clinic/Center - Federally Qualified Health Center (FQHC) in Ossining, NY

NPI Status: Active since November 05, 2014

Contact Information

165 MAIN ST
OSSINING, NY
ZIP 10562
Phone: (914) 941-1263

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 33D2156598
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 03-26-2027

About OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN

This page provides the complete NPI Profile along with additional information for Open Door Family Medical Center School Based Mobile Dental Van, a primary care provider established in Ossining, New York operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1073919973 assigned on November 2014. The practitioner's primary taxonomy code is 261QF0400X with license number 5905200R (NY). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Open Door Family Medical Centers, Inc. The authorized official of this NPI record is Ms. Maria Mazzotta Cpa (Cfo)

NPI
1073919973
Provider Legal Name
OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN
Other Organization Name
OPEN DOOR FAMILY MEDICAL CENTERS, INC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
165 MAIN ST OSSINING, NY 10562
Location Phone
(914) 941-1263
Mailing Address
165 MAIN ST OSSINING, NY 10562
Mailing Phone
(914) 937-7817
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-05-2014
Last Update Date
02-05-2024
Code Navigator

A primary care provider (PCP) like Open Door Family Medical Center School Based Mobile Dental Van sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 30 Ryder Rd
    Ossining, NY 10562
    (914) 937-7817
  • 22 Edward St
    Ossining, NY 10562
    (914) 937-7817
  • 30 Pocantico St
    Sleepy Hollow, NY 10591
    (914) 937-7817
  • 154 N Broadway
    Tarrytown, NY 10591
    (914) 937-7817

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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
5905200R
License State
NY

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

MS. MARIA MAZZOTTA CPA

Authorized Official Title
CFO
Authorized Official Phone
(914) 502-1470

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
33D2156598
Facility Type
Federally Qualified Health Center
Certificate Effective Date
October 22, 2018
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. DAREN WU
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Open Door Family Medical Center School Based Mobile Dental Van in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1073919973, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 8 + 1 + 1 + 8 + 9 + 1 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073919973.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
165 MAIN ST
OSSINING, NY 10562
Dentist
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Family Medicine
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Dentist (Pediatric Dentistry)
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Nurse Practitioner
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Dentist
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Nutritionist
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Advanced Practice Midwife
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Optometrist
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Pediatrics
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Dentist
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Social Worker (Clinical)
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Dentist
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Social Worker (Clinical)
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Social Worker (Clinical)
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Dental Hygienist
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC.
OSSINING, NY 10562
Dental Hygienist
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS
OSSINING, NY 10562
Social Worker (Clinical)
165 MAIN ST
OSSINING, NY 10562
Social Worker (Clinical)
165 MAIN ST
OSSINING, NY 10562
Dentist (General Practice)
165 MAIN ST
OSSINING, NY 10562

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073919973, enumerated as an "organization" on November 05, 2014.

The provider is located at 165 MAIN ST OSSINING, NY 10562 and the phone number is (914) 941-1263.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).