DEER PARK PODIATRY
NPI 1205472818
Podiatrist - Primary Podiatric Medicine in North Babylon, NY

NPI Status: Active since November 19, 2019

Contact Information

1428 DEER PARK AVE
NORTH BABYLON, NY
ZIP 11703
Phone: (631) 586-3388
Fax: (631) 586-3388

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  • Organization
  • Podiatrist
  • Primary Podiatric Medicine
  • CLIA Number: 33D2159167
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-12-2026

About DEER PARK PODIATRY

This page provides the complete NPI Profile along with additional information for Deer Park Podiatry, a provider established in North Babylon, New York operating as a Podiatrist, focusing in primary podiatric medicine . The healthcare provider is registered in the NPI registry with number 1205472818 assigned on November 2019. The practitioner's primary taxonomy code is 213EP1101X. The provider is registered as an organization and their NPI record was last updated 7 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 Michele Ahmadi Dpm (Owner)

NPI
1205472818
Provider Name
DEER PARK PODIATRY
Entity Type
Organization
Location Address
1428 DEER PARK AVE NORTH BABYLON, NY 11703
Location Phone
(631) 586-3388
Location Fax
(631) 586-3388
Mailing Address
1428 DEER PARK AVE NORTH BABYLON, NY 11703
Mailing Phone
(631) 586-3388
Mailing Fax
(631) 586-3388
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2019
Last Update Date
11-19-2019
Code Navigator

A podiatrist like Deer Park Podiatry provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

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

Podiatrist Primary Podiatric Medicine

Taxonomy Code
213EP1101X
Type
Podiatric Medicine & Surgery Service Providers

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

MICHELE AHMADI DPM

Authorized Official Title
OWNER
Authorized Official Phone
(631) 586-3388

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
33D2159167
Facility Type
Physician Office
Certificate Effective Date
December 13, 2024
Certificate Expiration Date
December 12, 2026
Laboratory Director
DR. STEVEN PURRIER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Deer Park Podiatry 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 1205472818, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 4 → 8 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 + 2 + 0 + 5 + 8 + 7 + 4 + 8 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1205472818.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
1428 DEER PARK AVE
NORTH BABYLON, NY 11703
Podiatrist
1428 DEER PARK AVE
N BABYLON, NY 11703
Clinic/Center (Podiatric)
1428 DEER PARK AVE
NORTH BABYLON, NY 11703
Podiatrist (Foot & Ankle Surgery)
1428 DEER PARK AVE
NORTH BABYLON, NY 11703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205472818, enumerated as an "organization" on November 19, 2019.

The provider is located at 1428 DEER PARK AVE NORTH BABYLON, NY 11703 and the phone number is (631) 586-3388.

Podiatrist with taxonomy code 213EP1101X and a focus in Primary Podiatric Medicine.