TRUE NORTH MEDICAL GROUP PC
NPI 1124686175
Orthopaedic Surgery in Southampton, NY
NPI Status: Active since June 04, 2019
Contact Information
686 COUNTY ROAD 39A
SOUTHAMPTON, NY
ZIP 11968
Phone: (631) 283-0355
Fax: (631) 283-2084
- Organization
- Orthopaedic Surgery
- CLIA Number: 33D0934129
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-01-2026
About TRUE NORTH MEDICAL GROUP PC
This page provides the complete NPI Profile along with additional information for True North Medical Group Pc, a provider established in Southampton, New York operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1124686175 assigned on June 2019. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. True North Medical Group Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is North Shore-lij Cardiovascular Medicine Pc. The authorized official of this NPI record is Mrs. Michele L Cusack (Senior Vice President & Cf(o)
- NPI
- 1124686175
- Provider Legal Name
- TRUE NORTH MEDICAL GROUP PC
- Other Organization Name
- NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 686 COUNTY ROAD 39A SOUTHAMPTON, NY 11968
- Location Phone
- (631) 283-0355
- Location Fax
- (631) 283-2084
- Mailing Address
- 444 MERRICK RD LYNBROOK, NY 11563
- Mailing Phone
- (516) 536-2800
- Mailing Fax
- (631) 283-2084
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-04-2019
- Last Update Date
- 12-06-2022
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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) |
|---|---|---|---|---|
| 1 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 2 | 207XS0114X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 3 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 4 | 207XX0004X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 5 | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 6 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 7 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 8 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 9 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 10 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 11 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 12 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
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.
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
- 33D0934129
- Facility Type
- Physician Office
- Certificate Effective Date
- October 02, 2024
- Certificate Expiration Date
- October 01, 2026
- Laboratory Director
- DR. LOUIS J. AVVENTO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to True North Medical Group Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1124686175, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124686175, enumerated as an "organization" on June 04, 2019.
The provider is located at 686 COUNTY ROAD 39A SOUTHAMPTON, NY 11968 and the phone number is (631) 283-0355.
Orthopaedic Surgery with taxonomy code 207X00000X.
