EXCELLA MEDICINE PC
NPI 1174812812
Internal Medicine in New York, NY

NPI Status: Active since April 04, 2011

Contact Information

4915 BROADWAY
SUITE 1G
NEW YORK, NY
ZIP 10034
Phone: (212) 544-9513
Fax: (212) 544-0402

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  • Organization
  • Internal Medicine

About EXCELLA MEDICINE PC

This page provides the complete NPI Profile along with additional information for Excella Medicine Pc, an internist established in New York, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1174812812 assigned on April 2011. The practitioner's primary taxonomy code is 207R00000X with license number 170543 (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. Excella Medicine 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 Michael Perez (Md)

NPI
1174812812
Provider Name
EXCELLA MEDICINE PC
Entity Type
Organization
Location Address
4915 BROADWAY SUITE 1G NEW YORK, NY 10034
Location Phone
(212) 544-9513
Location Fax
(212) 544-0402
Mailing Address
4915 BROADWAY SUITE 1G NEW YORK, NY 10034
Mailing Phone
(212) 544-9513
Mailing Fax
(212) 544-0402
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2011
Last Update Date
04-04-2011
Code Navigator

An internist like Excella Medicine Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
170543
License State
NY
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

170543 (NY)

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.

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

MICHAEL PEREZ

Authorized Official Title
MD
Authorized Official Phone
(212) 544-9513

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
01196487MEDICAID (05)NY 
P00633190OTHER (01)NYMEDICARE RAILROAD
F03310MEDICARE UPIN (02)NY 

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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 1174812812, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 8 → 16 → 7 2 → 4 1 → 2

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 + 6 + 1 + 4 + 8 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174812812.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Podiatrist (Primary Podiatric Medicine)
4915 BROADWAY, SUITE 5B
NEW YORK, NY 10034
Podiatrist
4915 BROADWAY
NEW YORK, NY 10034
Podiatrist
4915 BROADWAY
NEW YORK, NY 10034
Podiatrist (Foot Surgery)
4915 BROADWAY
NEW YORK, NY 10034
Podiatrist
4915 BROADWAY, SUITE 1J
NEW YORK, NY 10034
Pharmacy (Community/Retail Pharmacy)
4915 BROADWAY
NEW YORK, NY 10034
Physician Assistant (Medical)
4915 BROADWAY, SUITE 1B
NEW YORK, NY 10034
Obstetrics & Gynecology
4915 BROADWAY, SUITE 1K
NEW YORK, NY 10034
Clinic/Center (Endoscopy)
4915 BROADWAY
NEW YORK, NY 10034
Obstetrics & Gynecology (Gynecology)
4915 BROADWAY, STE 1K
NEW YORK, NY 10034
Specialist
4915 BROADWAY, 2G
NEW YORK, NY 10034
Podiatrist (Foot & Ankle Surgery)
4915 BROADWAY, SUITE 1J
NEW YORK, NY 10034
Internal Medicine (Gastroenterology)
4915 BROADWAY, SUITE 1B
NEW YORK, NY 10034
Pharmacy (Community/Retail Pharmacy)
4915 BROADWAY
NEW YORK, NY 10034
Pharmacist
4915 BROADWAY
NEW YORK, NY 10034
Pharmacist
4915 BROADWAY
NEW YORK, NY 10034
Specialist
4915 BROADWAY, SUITE 1B
NEW YORK, NY 10034
Podiatrist (Foot & Ankle Surgery)
4915 BROADWAY, SUITE #1J
NEW YORK, NY 10034
Podiatrist (Foot Surgery)
4915 BROADWAY
NEW YORK, NY 10034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174812812, enumerated as an "organization" on April 04, 2011.

The provider is located at 4915 BROADWAY SUITE 1G NEW YORK, NY 10034 and the phone number is (212) 544-9513.

Internal Medicine with taxonomy code 207R00000X.

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