ANDERSON MEDICAL P.C. DBA EMERGENCY ONE
NPI 1114043411
Clinic/Center - Urgent Care in Kingston, NY

NPI Status: Active since March 21, 2007

Contact Information

40 HURLEY AVE
SUITE 4
KINGSTON, NY
ZIP 12401
Phone: (845) 338-5600
Fax: (845) 338-3058

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 33D0712179
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-26-2027

About ANDERSON MEDICAL P.C. DBA EMERGENCY ONE

This page provides the complete NPI Profile along with additional information for Anderson Medical P.c. Dba Emergency One, a provider established in Kingston, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1114043411 assigned on March 2007. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Barbara Coughlin (Billing Supervisior/secialist)

NPI
1114043411
Provider Name
ANDERSON MEDICAL P.C. DBA EMERGENCY ONE
Entity Type
Organization
Location Address
40 HURLEY AVE SUITE 4 KINGSTON, NY 12401
Location Phone
(845) 338-5600
Location Fax
(845) 338-3058
Mailing Address
40 HURLEY AVE SUITE 4 KINGSTON, NY 12401
Mailing Phone
(845) 338-5600
Mailing Fax
(845) 338-3058
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2007
Last Update Date
03-03-2021
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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 Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

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

BARBARA COUGHLIN

Authorized Official Title
BILLING SUPERVISIOR/SECIALIST
Authorized Official Phone
(845) 338-5600

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
33D0712179
Facility Type
Physician Office
Certificate Effective Date
January 27, 2025
Certificate Expiration Date
January 26, 2027
Laboratory Director
DR. FERDINAND F. ANDERSON JR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Anderson Medical P.c. Dba Emergency One 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 1114043411, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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.

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
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 3 → 6 1 → 2

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 + 4 + 6 + 4 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1114043411.

Other Providers at the Same Location


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

Surgery
40 HURLEY AVE, SUITE 17
KINGSTON, NY 12401
Emergency Medicine
40 HURLEY AVE, # 4
KINGSTON, NY 12401
Internal Medicine
40 HURLEY AVE, SUITE 4
KINGSTON, NY 12401
Surgery
40 HURLEY AVE, SUITE 5
KINGSTON, NY 12401
Physical Therapist
40 HURLEY AVE, SUITE 4
KINGSTON, NY 12401
Physician Assistant
40 HURLEY AVE, SUITE 4
KINGSTON, NY 12401
Dentist (Endodontics)
40 HURLEY AVE
KINGSTON, NY 12401
Dentist (Periodontics)
40 HURLEY AVE, SUITE 6
KINGSTON, NY 12401
Nurse Practitioner (Family)
40 HURLEY AVE
KINGSTON, NY 12401
Otolaryngology
40 HURLEY AVE, SUITE 15
KINGSTON, NY 12401
Nurse Practitioner
40 HURLEY AVE, SUITE 4
KINGSTON, NY 12401
Obstetrics & Gynecology
40 HURLEY AVE
KINGSTON, NY 12401
Obstetrics & Gynecology
40 HURLEY AVE
KINGSTON, NY 12401
Otolaryngology
40 HURLEY AVE, STE 15
KINGSTON, NY 12401
Surgery
40 HURLEY AVE, SUITE 3
KINGSTON, NY 12401
Clinic/Center (Ambulatory Surgical)
40 HURLEY AVE, SUITE 13
KINGSTON, NY 12401
Urology
40 HURLEY AVE, SUITE 17
KINGSTON, NY 12401
Urology
40 HURLEY AVE, SUITE 17
KINGSTON, NY 12401
Physician Assistant
40 HURLEY AVE, SUITE 4
KINGSTON, NY 12401
Nurse Practitioner (Family)
40 HURLEY AVE
KINGSTON, NY 12401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114043411, enumerated as an "organization" on March 21, 2007.

The provider is located at 40 HURLEY AVE SUITE 4 KINGSTON, NY 12401 and the phone number is (845) 338-5600.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.