ISLAND GASTROENTEROLOGY CONSULTANTS PC
NPI 1174556963
Specialist in West Islip, NY

NPI Status: Active since July 08, 2006

Contact Information

1111 MONTAUK HWY
3RD FLOOR
WEST ISLIP, NY
ZIP 11795
Phone: (631) 669-1171
Fax: (631) 669-1912

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  • Organization
  • Specialist
  • CLIA Number: 33D2167519
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About ISLAND GASTROENTEROLOGY CONSULTANTS PC

This page provides the complete NPI Profile along with additional information for Island Gastroenterology Consultants Pc, a provider established in West Islip, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1174556963 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number 143127 (NY). The provider is registered as an organization and their NPI record was last updated 10 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 Dr. Raj Mariwalla Md (Gastroenterologist)

NPI
1174556963
Provider Name
ISLAND GASTROENTEROLOGY CONSULTANTS PC
Entity Type
Organization
Location Address
1111 MONTAUK HWY 3RD FLOOR WEST ISLIP, NY 11795
Location Phone
(631) 669-1171
Location Fax
(631) 669-1912
Mailing Address
1111 MONTAUK HWY 3RD FLOOR WEST ISLIP, NY 11795
Mailing Phone
(631) 669-1171
Mailing Fax
(631) 669-1912
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2006
Last Update Date
01-25-2016
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
143127
License State
NY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

DR. RAJ MARIWALLA MD

Authorized Official Title
GASTROENTEROLOGIST
Authorized Official Phone
(631) 669-1171

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
33D2167519
Facility Type
Physician Office
Certificate Effective Date
June 11, 2019
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. RAJKUMAR MARIWALLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Island Gastroenterology Consultants 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 1174556963, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 7 → 14 → 5 5 → 10 → 1 6 → 12 → 3 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 + 4 + 4 + 1 + 0 + 5 + 1 + 2 + 9 + 1 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1174556963.

Other Providers at the Same Location


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

Pediatrics (Pediatric Cardiology)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Pediatrics (Developmental - Behavioral Pediatrics)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Pediatrics
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Pediatrics
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Otolaryngology
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Genetic Counselor, MS
1111 MONTAUK HWY, SUITE 204
WEST ISLIP, NY 11795
Pediatrics
1111 MONTAUK HWY, SUITE 104
WEST ISLIP, NY 11795
Obstetrics & Gynecology
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Internal Medicine
1111 MONTAUK HWY, SUITE 2-2
WEST ISLIP, NY 11795
Nurse Practitioner (Pediatrics)
1111 MONTAUK HWY, SUITE 104
WEST ISLIP, NY 11795
Physician Assistant
1111 MONTAUK HWY, SUITE 3-1
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY, STE 100
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY, SUITE 100
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Pediatrics
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Physician Assistant
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174556963, enumerated as an "organization" on July 08, 2006.

The provider is located at 1111 MONTAUK HWY 3RD FLOOR WEST ISLIP, NY 11795 and the phone number is (631) 669-1171.

Specialist with taxonomy code 174400000X.