NORTH SUFFOLK MEDICAL CARE, PC
NPI 1114022084
Internal Medicine - Geriatric Medicine in Calverton, NY

NPI Status: Active since September 14, 2006

Contact Information

4480 MIDDLE COUNTRY RD
CALVERTON, NY
ZIP 11933
Phone: (631) 208-2919
Fax: (631) 208-0976

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  • Organization
  • Internal Medicine
  • Geriatric Medicine
  • CLIA Number: 33D1072138
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-08-2027

About NORTH SUFFOLK MEDICAL CARE, PC

This page provides the complete NPI Profile along with additional information for North Suffolk Medical Care, Pc, an internist established in Calverton, New York operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1114022084 assigned on September 2006. The practitioner's primary taxonomy code is 207RG0300X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is John P O'connor Md (Owner)

NPI
1114022084
Provider Name
NORTH SUFFOLK MEDICAL CARE, PC
Entity Type
Organization
Location Address
4480 MIDDLE COUNTRY RD CALVERTON, NY 11933
Location Phone
(631) 208-2919
Location Fax
(631) 208-0976
Mailing Address
4480 MIDDLE COUNTRY RD CALVERTON, NY 11933
Mailing Phone
(630) 208-2919
Mailing Fax
(631) 208-0976
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2006
Last Update Date
02-21-2025
Code Navigator

An internist like North Suffolk Medical Care, Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

JOHN P O'CONNOR MD

Authorized Official Title
OWNER
Authorized Official Phone
(631) 208-2919

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
33D1072138
Facility Type
Physician Office
Certificate Effective Date
August 09, 2025
Certificate Expiration Date
August 08, 2027
Laboratory Director
JOHN O'CONNOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Suffolk Medical Care, Pc 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 1114022084, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 1 → 2 0 → 0 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 0 + 2 + 4 + 0 + 1 + 6 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114022084.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
4480 MIDDLE COUNTRY RD
CALVERTON, NY 11933
Nurse Practitioner (Adult Health)
4480 MIDDLE COUNTRY RD
CALVERTON, NY 11933

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114022084, enumerated as an "organization" on September 14, 2006.

The provider is located at 4480 MIDDLE COUNTRY RD CALVERTON, NY 11933 and the phone number is (631) 208-2919.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.