CITY LINE E.N.T., PC
NPI 1396199881
Otolaryngology in Philadelphia, PA

NPI Status: Active since April 20, 2016

Contact Information

4190 CITY AVE
STE 526
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 879-0060
Fax: (215) 879-0063

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  • Organization
  • Otolaryngology
  • CLIA Number: 39D2062166
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 07-10-2027

About CITY LINE E.N.T., PC

This page provides the complete NPI Profile along with additional information for City Line E.n.t., Pc, a provider established in Philadelphia, Pennsylvania operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1396199881 assigned on April 2016. The practitioner's primary taxonomy code is 207Y00000X with license number OS0011941L (PA). The provider is registered as an organization and their NPI record was last updated 10 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 Theodore P Mauer D.o. (Owner)

NPI
1396199881
Provider Name
CITY LINE E.N.T., PC
Entity Type
Organization
Location Address
4190 CITY AVE STE 526 PHILADELPHIA, PA 19131
Location Phone
(215) 879-0060
Location Fax
(215) 879-0063
Mailing Address
4190 CITY AVE STE 526 PHILADELPHIA, PA 19131
Mailing Phone
(215) 879-0060
Mailing Fax
(215) 879-0063
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2016
Last Update Date
04-20-2016
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS0011941L
License State
PA
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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

THEODORE P MAUER D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(215) 879-0060

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
39D2062166
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
July 11, 2025
Certificate Expiration Date
July 10, 2027
Laboratory Director
DR. RAKESH GULATI MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to City Line E.n.t., Pc 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 CITY LINE E.N.T., PC

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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 1396199881, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

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
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
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 1 → 2 9 → 18 → 9 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 + 2 + 9 + 1 + 8 + 8 + 1 + 6 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1396199881.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Rheumatology)
4190 CITY AVE, SUITE 330
PHILADELPHIA, PA 19131
Obstetrics & Gynecology
4190 CITY AVE, STE 315
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Family Medicine
4190 CITY AVE, SUITE 100
PHILADELPHIA, PA 19131
Psychologist (Clinical)
4190 CITY AVE, PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, RH226
PHILADELPHIA, PA 19131
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Psychologist (Clinical)
4190 CITY AVE
PHILADELPHIA, PA 19131
Psychologist (Clinical)
4190 CITY AVE, SUITE 100
PHILADELPHIA, PA 19131
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4190 CITY AVE, SUITE 324
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Specialist
4190 CITY AVE
PHILADELPHIA, PA 19131
Obstetrics & Gynecology (Reproductive Endocrinology)
4190 CITY AVE, ROWLAND HALL, SUITE 418
PHILADELPHIA, PA 19131
Nurse Practitioner (Adult Health)
4190 CITY AVE
PHILADELPHIA, PA 19131
Physician Assistant (Medical)
4190 CITY AVE, SUITE 528
PHILADELPHIA, PA 19131
Family Medicine
4190 CITY AVE
PHILADELPHIA, PA 19131
Family Medicine (Geriatric Medicine)
4190 CITY AVE, SUITE 315
PHILADELPHIA, PA 19131
Internal Medicine
4190 CITY AVE, SUITE 315
PHILADELPHIA, PA 19131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396199881, enumerated as an "organization" on April 20, 2016.

The provider is located at 4190 CITY AVE STE 526 PHILADELPHIA, PA 19131 and the phone number is (215) 879-0060.

Otolaryngology with taxonomy code 207Y00000X.