MONTEFIORE MEDICAL PARK
NPI 1306990478
Clinic/Center - Radiology, Mobile in Bronx, NY

NPI Status: Active since January 23, 2007

Contact Information

1625 POPLAR ST
RADIOLOGY SUITE#100
BRONX, NY
ZIP 10461
Phone: (718) 405-8440

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  • Organization
  • Clinic/Center
  • Radiology, Mobile
  • CLIA Number: 33D2076381
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-26-2027

About MONTEFIORE MEDICAL PARK

This page provides the complete NPI Profile along with additional information for Montefiore Medical Park, a provider established in Bronx, New York operating as a Clinic/center, focusing in radiology, mobile . The healthcare provider is registered in the NPI registry with number 1306990478 assigned on January 2007. The practitioner's primary taxonomy code is 261QR0208X with license number 011243-1 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Afsana Sharmin Pa (Physician Assistant)

NPI
1306990478
Provider Name
MONTEFIORE MEDICAL PARK
Entity Type
Organization
Location Address
1625 POPLAR ST RADIOLOGY SUITE#100 BRONX, NY 10461
Location Phone
(718) 405-8440
Mailing Address
2266 GLEASON AVE APT 6A BRONX, NY 10462
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2007
Last Update Date
08-22-2020
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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 Radiology, Mobile

Taxonomy Code
261QR0208X
Type
Ambulatory Health Care Facilities
License No.
011243-1
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

AFSANA SHARMIN PA

Authorized Official Title
PHYSICIAN ASSISTANT
Authorized Official Phone
(646) 238-4864

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
33D2076381
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 17, 2014
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. DAVID H. CIOCON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Montefiore Medical Park after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1306990478, 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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 9 → 18 → 9 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 1 + 8 + 9 + 0 + 4 + 1 + 4 + 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 1306990478.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Radiology (Therapeutic Radiology)
1625 POPLAR ST
BRONX, NY 10461
Radiology (Therapeutic Radiology)
1625 POPLAR ST, SUITE 101
BRONX, NY 10461
Specialist
1625 POPLAR ST, STE 200
BRONX, NY 10461
General Acute Care Hospital
1625 POPLAR ST
BRONX, NY 10461
Dietitian, Registered
1625 POPLAR ST, SUITE 101
BRONX, NY 10461
Plastic Surgery
1625 POPLAR ST
BRONX, NY 10461
Dentist
1625 POPLAR ST
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1625 POPLAR ST
BRONX, NY 10461
Radiology (Radiological Physics)
1625 POPLAR ST
BRONX, NY 10461
Radiology (Radiation Oncology)
1625 POPLAR ST
BRONX, NY 10461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306990478, enumerated as an "organization" on January 23, 2007.

The provider is located at 1625 POPLAR ST RADIOLOGY SUITE#100 BRONX, NY 10461 and the phone number is (718) 405-8440.

Clinic/Center with taxonomy code 261QR0208X and a focus in Radiology, Mobile.