MARTIN LUTHER KING JR FAMILY HEALTH CENTER
NPI 1275637480
Clinic/Center in Wyandanch, NY

NPI Status: Active since September 08, 2006

Contact Information

1556 STRAIGHT PATH
WYANDANCH, NY
ZIP 11798
Phone: (631) 854-1700
Fax: (631) 854-1783

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  • Organization
  • Clinic/Center

About MARTIN LUTHER KING JR FAMILY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Martin Luther King Jr Family Health Center, a provider established in Wyandanch, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1275637480 assigned on September 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Martin Luther King Jr Family Health Center. The authorized official of this NPI record is Dr. James L Tomarken Msw,mph,mba,frcpc,fa (Commissioner)

NPI
1275637480
Provider Legal Name
COUNTY OF SUFFOLK
Other Organization Name
MARTIN LUTHER KING JR FAMILY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1556 STRAIGHT PATH WYANDANCH, NY 11798
Location Phone
(631) 854-1700
Location Fax
(631) 854-1783
Mailing Address
3500 SUNRISE HWY, SUITE 124 P.O. BOX 9006 GREAT RIVER, NY 11739
Mailing Phone
(631) 854-0000
Mailing Fax
(631) 854-1783
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2006
Last Update Date
10-17-2012
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

*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

DR. JAMES L TOMARKEN MSW,MPH,MBA,FRCPC,FA

Authorized Official Title
COMMISSIONER
Authorized Official Phone
(631) 854-0100

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
03003601MEDICAID (05)NY 
W03151MEDICARE PIN (08)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 1275637480, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 1 + 2 + 3 + 1 + 4 + 4 + 1 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1275637480.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Pediatrics
1556 STRAIGHT PATH, MARTIN LUTHER KING JR HEALTH CENTER
WYANDANCH, NY 11798
Internal Medicine
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Dietitian, Registered
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Social Worker
1556 STRAIGHT PATH, HUDSON RIVER HEALTHCARE, INC.
WYANDANCH, NY 11798
Social Worker (Clinical)
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Family Medicine
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Clinic/Center (Federally Qualified Health Center (FQHC))
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Family Medicine
1556 STRAIGHT PATH, MARTIN LUTHER KING JR HEALTH CENTER
WYANDANCH, NY 11798

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275637480, enumerated as an "organization" on September 08, 2006.

The provider is located at 1556 STRAIGHT PATH WYANDANCH, NY 11798 and the phone number is (631) 854-1700.

Clinic/Center with taxonomy code 261Q00000X.

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