NORTHWAY MEDICAL
NPI 1356765689
Non-Pharmacy Dispensing Site in Fulton, NY

NPI Status: Active since February 06, 2014

Contact Information

21 N 2ND ST
FULTON, NY
ZIP 13069
Phone: (315) 598-7105

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 33D0165658
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-18-2026

About NORTHWAY MEDICAL

This page provides the complete NPI Profile along with additional information for Northway Medical, a provider established in Fulton, New York operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1356765689 assigned on February 2014. The practitioner's primary taxonomy code is 332900000X with license number 211928 (NY). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Northway Medical. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1356765689
Provider Legal Name
NORTHWAY MEDICAL ASSOCIATES PLLC
Other Organization Name
NORTHWAY MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
21 N 2ND ST FULTON, NY 13069
Location Phone
(315) 598-7105
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-06-2014
Last Update Date
02-06-2014
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
211928
License State
NY
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 964-1506

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
33D0165658
Facility Type
Physician Office
Certificate Effective Date
December 19, 2024
Certificate Expiration Date
December 18, 2026
Laboratory Director
DR. RAJEEV Z. SAINI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Northway Medical in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1356765689, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 5 → 10 → 1 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 1 + 4 + 6 + 1 + 0 + 6 + 1 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1356765689.

Other Providers at the Same Location


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

Internal Medicine
21 N 2ND ST
FULTON, NY 13069
Legal Medicine
21 N 2ND ST
FULTON, NY 13069
Family Medicine
21 N 2ND ST
FULTON, NY 13069
Nurse Practitioner (Primary Care)
21 N 2ND ST
FULTON, NY 13069
Nurse Practitioner (Family)
21 N 2ND ST
FULTON, NY 13069
Nurse Practitioner (Family)
21 N 2ND ST
FULTON, NY 13069
Internal Medicine
21 N 2ND ST
FULTON, NY 13069
Nurse Practitioner (Pediatrics)
21 N 2ND ST
FULTON, NY 13069

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356765689, enumerated as an "organization" on February 06, 2014.

The provider is located at 21 N 2ND ST FULTON, NY 13069 and the phone number is (315) 598-7105.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.