MOUNT SINAI MARATHON MEDICAL - RADIOLOGY
NPI 1396212536
Radiology - Body Imaging in Oceanside, NY

NPI Status: Active since October 25, 2018

Contact Information

1 HEALTHY WAY
OCEANSIDE, NY
ZIP 11572
Phone: (516) 632-3921

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  • Organization
  • Radiology
  • Body Imaging
  • CLIA Number: 33D0153065
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About MOUNT SINAI MARATHON MEDICAL - RADIOLOGY

This page provides the complete NPI Profile along with additional information for Mount Sinai Marathon Medical - Radiology, a provider established in Oceanside, New York operating as a Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1396212536 assigned on October 2018. The practitioner's primary taxonomy code is 2085B0100X. The provider is registered as an organization and their NPI record was last updated 7 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 other name is Mount Sinai Marathon Medical - Radiology. The authorized official of this NPI record is Alicia Gresham (Vp Network Operations)

NPI
1396212536
Provider Legal Name
MOUNT SINAI SCHOOL OF MEDICINE
Other Organization Name
MOUNT SINAI MARATHON MEDICAL - RADIOLOGY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1 HEALTHY WAY OCEANSIDE, NY 11572
Location Phone
(516) 632-3921
Mailing Address
119 N PARK AVE STE 101 ROCKVILLE CENTRE, NY 11570
Mailing Phone
(516) 255-9555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2018
Last Update Date
01-11-2019
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Location Map

Secondary Locations

  • 185 Merrick Rd
    Oceanside, NY 11572
    (516) 632-3921
  • 440 Merrick Rd
    Oceanside, NY 11572
    (516) 255-8220
  • 119 N Park Ave Ste 101
    Rockville Centre, NY 11570
    (516) 255-9555

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

Radiology Body Imaging

Taxonomy Code
2085B0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085N0904XAllopathic & Osteopathic Physicians

Radiology
Nuclear Radiology

 
22085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
32085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

 

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

ALICIA GRESHAM

Authorized Official Title
VP NETWORK OPERATIONS
Authorized Official Phone
(212) 659-9038

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
33D0153065
Facility Type
Physician Office
Certificate Effective Date
May 31, 2017
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. DANIEL S. MCCALLY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mount Sinai Marathon Medical - Radiology 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.

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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 1396212536, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

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 + 4 + 1 + 4 + 5 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1396212536.

Other Providers at the Same Location


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

Internal Medicine (Cardiovascular Disease)
1 HEALTHY WAY
OCEANSIDE, NY 11572
Pediatrics (Neonatal-Perinatal Medicine)
1 HEALTHY WAY
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Obstetrics & Gynecology (Gynecology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Pathology (Anatomic Pathology & Clinical Pathology)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Radiology (Diagnostic Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Radiology (Diagnostic Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Radiology (Diagnostic Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Radiology (Vascular & Interventional Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Radiology (Diagnostic Radiology)
1 HEALTHY WAY, ATTN: RADIOLOGY
OCEANSIDE, NY 11572
Physician Assistant (Surgical)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Physician Assistant (Surgical)
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING DEPT
OCEANSIDE, NY 11572
Hospitalist
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572
Physician Assistant
1 HEALTHY WAY
OCEANSIDE, NY 11572
Physician Assistant
1 HEALTHY WAY
OCEANSIDE, NY 11572
Emergency Medicine
1 HEALTHY WAY
OCEANSIDE, NY 11572
Emergency Medicine
1 HEALTHY WAY
OCEANSIDE, NY 11572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396212536, enumerated as an "organization" on October 25, 2018.

The provider is located at 1 HEALTHY WAY OCEANSIDE, NY 11572 and the phone number is (516) 632-3921.

Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.