ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
NPI 1386062990
Urology in Fulton, NY

NPI Status: Active since April 01, 2014

Contact Information

806 W BROADWAY
FULTON, NY
ZIP 13069
Phone: (315) 297-4700

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  • Organization
  • Urology
  • CLIA Number: 33D2073815
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 11-23-2024

About ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC

Associated Medical Professionals Of Ny, Pllc is a provider established in Fulton, New York operating as a Urology. The healthcare provider is registered in the NPI registry with number 1386062990 assigned on April 2014. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Associated Medical Professionals Of Ny, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Angelo R. Derosalia Md (Authorized Official)

NPI
1386062990
Provider Name
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Entity Type
Organization
Location Address
806 W BROADWAY FULTON, NY 13069
Location Phone
(315) 297-4700
Mailing Address
100 METROPOLITAN PARK DR. SUITE 100 LIVERPOOL, NY 13088
Mailing Phone
(315) 870-9370
Mailing Fax
Is Sole Proprietor?
N/A
Is Organization Subpart?
Yes
Enumeration Date
04-01-2014
Last Update Date
07-15-2020
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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. ANGELO R. DEROSALIA MD

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(315) 458-3343

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
33D2073815
Facility Type
Physician Office
Certificate Effective Date
November 24, 2022
Certificate Expiration Date
November 23, 2024
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Associated Medical Professionals Of Ny, Pllc 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.

Reviews for ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386062990
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166064918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 0 + 6 + 4 + 9 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1386062990 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659348514DR. GARY DOUGLAS BOZEMAN M.D.
Individual
Urology806 W BROADWAY
FULTON, NY 13069
(315) 297-4700
1952879173 REBECCA ANNE ZENOR
Individual
Technician/Technologist (Optician)806 W BROADWAY
FULTON, NY 13069
(315) 422-0022
1659081297 HANNAH GRACE MOORE
Individual
Nurse Practitioner (Family)806 W BROADWAY
FULTON, NY 13069
(315) 297-4700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386062990, enumerated in the NPI registry as an "organization" on April 01, 2014

The provider is located at 806 W Broadway Fulton, Ny 13069 and the phone number is (315) 297-4700

This medical organization specializes in Urology with taxonomy code 208800000X

The provider's CLIA number is 33D2073815 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on April 01, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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