FIFTH AVENUE MEDICAL ASSOCIATES, LLC
NPI 1083069439
Clinic/Center - Health Service in New York, NY

NPI Status: Active since May 03, 2016

Contact Information

745 5TH AVE
SUITE 500
NEW YORK, NY
ZIP 10151
Phone: (646) 898-2037

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  • Organization
  • Clinic/Center
  • Health Service

About FIFTH AVENUE MEDICAL ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Fifth Avenue Medical Associates, Llc, a provider established in New York, New York operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1083069439 assigned on May 2016. The practitioner's primary taxonomy code is 261QH0100X with license number 101838 (NY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's former legal business name is Beny J. Primm Medical Group, Llc. The authorized official of this NPI record is Charles Y Jin M.d. (Member)

NPI
1083069439
Provider Legal Name
FIFTH AVENUE MEDICAL ASSOCIATES, LLC
Other Organization Name
BENY J. PRIMM MEDICAL GROUP, LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
745 5TH AVE SUITE 500 NEW YORK, NY 10151
Location Phone
(646) 898-2037
Mailing Address
745 5TH AVE SUITE 500 NEW YORK, NY 10151
Mailing Phone
(646) 898-2037
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2016
Last Update Date
11-19-2018
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
101838
License State
NY

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

CHARLES Y JIN M.D.

Authorized Official Title
MEMBER
Authorized Official Phone
(646) 898-2037

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
02216131MEDICAID (05)NY 

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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 1083069439, 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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
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 8 → 16 → 7 0 → 0 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 0 + 6 + 1 + 8 + 4 + 6 + 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 1083069439.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
745 5TH AVE, SUITE 1405
NEW YORK, NY 10151
Dentist (General Practice)
745 5TH AVE, SUITE 1405
NEW YORK, NY 10151
Non-emergency Medical Transport (VAN)
745 5TH AVE
NEW YORK, NY 10151
Dietitian, Registered
745 5TH AVE
NEW YORK, NY 10151
Psychiatry & Neurology (Child & Adolescent Psychiatry)
745 5TH AVE, SUITE 500
NEW YORK, NY 10151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083069439, enumerated as an "organization" on May 03, 2016.

The provider is located at 745 5TH AVE SUITE 500 NEW YORK, NY 10151 and the phone number is (646) 898-2037.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

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