QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1184138091
Surgery - Vascular Surgery in Forest Hills, NY
NPI Status: Active since November 30, 2017
Contact Information
11602 QUEENS BLVD LOWR LEVEL
FOREST HILLS, NY
ZIP 11375
Phone: (718) 301-1100
Fax: (224) 235-4652
- Organization
- Surgery
- Vascular Surgery
- CLIA Number: 33D2157754
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-12-2026
About QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
This page provides the complete NPI Profile along with additional information for Queens Professional Medical Services Of New York Llc, a provider established in Forest Hills, New York operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1184138091 assigned on November 2017. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Queens Professional Medical Services Of New York Llc 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 Ami Almeda (Credentialing Manager)
- NPI
- 1184138091
- Provider Name
- QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
- Entity Type
- Organization
- Location Address
- 11602 QUEENS BLVD LOWR LEVEL FOREST HILLS, NY 11375
- Location Phone
- (718) 301-1100
- Location Fax
- (224) 235-4652
- Mailing Address
- PO BOX 32 NORTHBROOK, IL 60065
- Mailing Phone
- (718) 301-1100
- Mailing Fax
- (224) 235-4652
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-30-2017
- Last Update Date
- 11-30-2017
- 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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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
- 33D2157754
- Facility Type
- Physician Office
- Certificate Effective Date
- November 13, 2024
- Certificate Expiration Date
- November 12, 2026
- Laboratory Director
- MS. PATRICIA M. CLARKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Queens Professional Medical Services Of New York Llc 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 1184138091, 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.
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 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184138091, enumerated as an "organization" on November 30, 2017.
The provider is located at 11602 QUEENS BLVD LOWR LEVEL FOREST HILLS, NY 11375 and the phone number is (718) 301-1100.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
