PARK AVE AMBULATORY MEDICAL FACILITY
NPI 1205094562
Clinic/Center - Ambulatory Surgical in Brooklyn, NY

NPI Status: Active since May 22, 2008

Contact Information

360 COURT ST
SUITE# 3
BROOKLYN, NY
ZIP 11231
Phone: (718) 422-5023
Fax: (718) 422-5025

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About PARK AVE AMBULATORY MEDICAL FACILITY

This page provides the complete NPI Profile along with additional information for Park Ave Ambulatory Medical Facility, a provider established in Brooklyn, New York operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1205094562 assigned on May 2008. The practitioner's primary taxonomy code is 261QA1903X with license number 217486 (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Vadim Kushnerik Md (Surgical Director)

NPI
1205094562
Provider Name
PARK AVE AMBULATORY MEDICAL FACILITY
Entity Type
Organization
Location Address
360 COURT ST SUITE# 3 BROOKLYN, NY 11231
Location Phone
(718) 422-5023
Location Fax
(718) 422-5025
Mailing Address
360 COURT ST SUITE# 3 BROOKLYN, NY 11231
Mailing Phone
(718) 422-5023
Mailing Fax
(718) 422-5025
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2008
Last Update Date
05-22-2008
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
217486
License State
NY

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. VADIM KUSHNERIK MD

Authorized Official Title
SURGICAL DIRECTOR
Authorized Official Phone
(718) 422-5023

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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 1205094562, 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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 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 0 → 0 0 → 0 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 0 + 9 + 8 + 5 + 1 + 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 1205094562.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Physical Therapy)
360 COURT ST
BROOKLYN, NY 11231
Anesthesiology (Pain Medicine)
360 COURT ST, SUITE 3
BROOKLYN, NY 11231
Pain Medicine (Pain Medicine)
360 COURT ST
BROOKLYN, NY 11231
Anesthesiology
360 COURT ST
BROOKLYN, NY 11231
Radiology (Vascular & Interventional Radiology)
360 COURT ST
BROOKLYN, NY 11231

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205094562, enumerated as an "organization" on May 22, 2008.

The provider is located at 360 COURT ST SUITE# 3 BROOKLYN, NY 11231 and the phone number is (718) 422-5023.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.