BRONX BOROUGH MEDICAL PRACTICE PC
NPI 1124590641
Physical Medicine & Rehabilitation - Pain Medicine in Bronx, NY

NPI Status: Active since December 21, 2018

Contact Information

2494 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10469
Phone: (914) 395-3691

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pain Medicine

About BRONX BOROUGH MEDICAL PRACTICE PC

This page provides the complete NPI Profile along with additional information for Bronx Borough Medical Practice Pc, a provider established in Bronx, New York operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1124590641 assigned on December 2018. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Bronx Borough Medical Practice Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mack Lee Sullivan (Owner)

NPI
1124590641
Provider Name
BRONX BOROUGH MEDICAL PRACTICE PC
Entity Type
Organization
Location Address
2494 WILLIAMSBRIDGE RD BRONX, NY 10469
Location Phone
(914) 395-3691
Mailing Address
369 WHITE PLAINS RD STE B EASTCHESTER, NY 10709
Mailing Phone
(914) 395-3691
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2018
Last Update Date
12-21-2018
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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

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RS0010XAllopathic & Osteopathic Physicians

Internal Medicine
Sports Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MACK LEE SULLIVAN

Authorized Official Title
OWNER
Authorized Official Phone
(914) 395-3691

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
115019OTHER (01)NYLICENSE

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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 1124590641, 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
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 2 → 4 5 → 10 → 1 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 0 + 9 + 0 + 6 + 8 + 24 = 59

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.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1124590641.

Other Providers at the Same Location


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

Internal Medicine
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469
Internal Medicine
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469
Physical Therapist
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469
Clinic/Center (Physical Therapy)
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469
Internal Medicine
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124590641, enumerated as an "organization" on December 21, 2018.

The provider is located at 2494 WILLIAMSBRIDGE RD BRONX, NY 10469 and the phone number is (914) 395-3691.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

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