125TH STREET MEDICAL CLINIC
NPI 1396033080
Specialist in North Miami, FL

NPI Status: Active since July 14, 2011

Contact Information

505 NE 125TH ST
NORTH MIAMI, FL
ZIP 33161
Phone: (786) 235-7240
Fax: (786) 235-7241

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  • Organization
  • Specialist

About 125TH STREET MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for 125th Street Medical Clinic, a provider established in North Miami, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1396033080 assigned on July 2011. The practitioner's primary taxonomy code is 174400000X with license number HCC8934 (FL). The provider is registered as an organization and their NPI record was last updated 15 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 provider's is doing business as 125th Street Medical Clinic. The authorized official of this NPI record is Igor Niznik (Owner)

NPI
1396033080
Provider Legal Name
125ST NM CORP
Other Organization Name
125TH STREET MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
505 NE 125TH ST NORTH MIAMI, FL 33161
Location Phone
(786) 235-7240
Location Fax
(786) 235-7241
Mailing Address
505 NE 125TH ST NORTH MIAMI, FL 33161
Mailing Phone
(786) 235-7240
Mailing Fax
(786) 235-7241
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2011
Last Update Date
07-14-2011
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
HCC8934
License State
FL
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X MULTIPLE 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

IGOR NIZNIK

Authorized Official Title
OWNER
Authorized Official Phone
(786) 235-7240

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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 1396033080, 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
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
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 9 → 18 → 9 0 → 0 3 → 6 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 + 8 + 6 + 0 + 3 + 6 + 0 + 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 1396033080.

Other Providers at the Same Location


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

Physical Therapist
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center (Pain)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center (Multi-Specialty)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Psychiatry & Neurology (Addiction Psychiatry)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center
505 NE 125TH ST, SUITE A
NORTH MIAMI, FL 33161
Clinic/Center (Rehabilitation, Substance Use Disorder)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Counselor (Mental Health)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center (Rehabilitation, Substance Use Disorder)
505 NE 125TH ST, STE. A
NORTH MIAMI, FL 33161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396033080, enumerated as an "organization" on July 14, 2011.

The provider is located at 505 NE 125TH ST NORTH MIAMI, FL 33161 and the phone number is (786) 235-7240.

Specialist with taxonomy code 174400000X.