INTEGRATED TRIBOROUGH MEDICAL, PLLC
NPI 1154769669
Psychiatry & Neurology - Neurology in Great Neck, NY

NPI Status: Active since June 06, 2013

Contact Information

1000 NORTHERN BLVD
SUITE 175
GREAT NECK, NY
ZIP 11021
Phone: (631) 271-9151
Fax: (631) 271-9155

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  • Organization
  • Psychiatry & Neurology
  • Neurology

About INTEGRATED TRIBOROUGH MEDICAL, PLLC

This page provides the complete NPI Profile along with additional information for Integrated Triborough Medical, Pllc, a provider established in Great Neck, New York operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1154769669 assigned on June 2013. The practitioner's primary taxonomy code is 2084N0400X with license number 179574 (NY). The provider is registered as an organization and their NPI record was last updated 13 years 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 Perry Stevens M.d. (Owner)

NPI
1154769669
Provider Name
INTEGRATED TRIBOROUGH MEDICAL, PLLC
Entity Type
Organization
Location Address
1000 NORTHERN BLVD SUITE 175 GREAT NECK, NY 11021
Location Phone
(631) 271-9151
Location Fax
(631) 271-9155
Mailing Address
1000 NORTHERN BLVD SUITE 175 GREAT NECK, NY 11021
Mailing Phone
(631) 271-9151
Mailing Fax
(631) 271-9155
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2013
Last Update Date
06-06-2013
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
179574
License State
NY
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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.

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

PERRY STEVENS M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(631) 271-9151

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
179574OTHER (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 1154769669, 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
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 4 + 6 + 1 + 8 + 6 + 1 + 2 + 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 1154769669.

Other Providers at the Same Location


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

Internal Medicine
1000 NORTHERN BLVD, SUITE 175
GREAT NECK, NY 11021
Plastic Surgery
1000 NORTHERN BLVD, SUITE 370
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Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021
Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021
Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021
Internal Medicine
1000 NORTHERN BLVD, SUITE 230
GREAT NECK, NY 11021
Audiologist
1000 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine
1000 NORTHERN BLVD, SUITE 230
GREAT NECK, NY 11021
Internal Medicine
1000 NORTHERN BLVD, SUITE #390
GREAT NECK, NY 11021
Internal Medicine (Geriatric Medicine)
1000 NORTHERN BLVD
GREAT NECK, NY 11021
Ophthalmology
1000 NORTHERN BLVD, SUITE 190
GREAT NECK, NY 11021
Specialist
1000 NORTHERN BLVD, SUITE 270
GREAT NECK, NY 11021
Dentist (Oral and Maxillofacial Surgery)
1000 NORTHERN BLVD, SUITE 180
GREAT NECK, NY 11021
Physical Medicine & Rehabilitation
1000 NORTHERN BLVD
GREAT NECK, NY 11021
Pediatrics
1000 NORTHERN BLVD, SUITE 240
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1000 NORTHERN BLVD, SUITE 240
GREAT NECK, NY 11021
Internal Medicine (Sleep Medicine)
1000 NORTHERN BLVD, SUITE 230
GREAT NECK, NY 11021
Specialist
1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021
Internal Medicine
1000 NORTHERN BLVD, SUITE 175
GREAT NECK, NY 11021
Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154769669, enumerated as an "organization" on June 06, 2013.

The provider is located at 1000 NORTHERN BLVD SUITE 175 GREAT NECK, NY 11021 and the phone number is (631) 271-9151.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

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