INTEGRATIVE MEDICINE OF BROOKHAVEN P.C.
NPI 1336647213
Family Medicine in Port Jefferson Station, NY

NPI Status: Active since January 25, 2018

Contact Information

59 NESCONSET HWY FL 2
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (646) 824-1380

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  • Organization
  • Family Medicine

About INTEGRATIVE MEDICINE OF BROOKHAVEN P.C.

This page provides the complete NPI Profile along with additional information for Integrative Medicine Of Brookhaven P.c., a primary care provider established in Port Jefferson Station, New York operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1336647213 assigned on January 2018. The practitioner's primary taxonomy code is 207Q00000X with license number 257261 (NY). The provider is registered as an organization and their NPI record was last updated 5 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 Dr. Dimos G Kanakoudas Md (Owner/medical Director)

NPI
1336647213
Provider Name
INTEGRATIVE MEDICINE OF BROOKHAVEN P.C.
Entity Type
Organization
Location Address
59 NESCONSET HWY FL 2 PORT JEFFERSON STATION, NY 11776
Location Phone
(646) 824-1380
Mailing Address
7 LOST MEADOW LN PORT JEFFERSON, NY 11777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2018
Last Update Date
03-14-2021
Code Navigator

A primary care provider (PCP) like Integrative Medicine Of Brookhaven P.c. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 59 Merrick Rd Ste B
    Amityville, NY 11701
    (646) 824-1380
  • 2848 Middle Country Rd
    Lake Grove, NY 11755
    (631) 780-5550

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
257261
License State
NY
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

DR. DIMOS G KANAKOUDAS MD

Authorized Official Title
OWNER/MEDICAL DIRECTOR
Authorized Official Phone
(646) 824-1380

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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 1336647213, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 1 + 2 + 4 + 1 + 4 + 2 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1336647213.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336647213, enumerated as an "organization" on January 25, 2018.

The provider is located at 59 NESCONSET HWY FL 2 PORT JEFFERSON STATION, NY 11776 and the phone number is (646) 824-1380.

Family Medicine with taxonomy code 207Q00000X.