PRIME CARE-111 MARY'S AVE-
NPI 1427393149
Internal Medicine in Kingston, NY

NPI Status: Active since December 06, 2012

Contact Information

111 MARYS AVE
SUITE 3
KINGSTON, NY
ZIP 12401
Phone: (845) 339-3663
Fax: (845) 339-3629

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  • Organization
  • Internal Medicine

About PRIME CARE-111 MARY'S AVE-

This page provides the complete NPI Profile along with additional information for Prime Care-111 Mary's Ave-, an internist established in Kingston, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1427393149 assigned on December 2012. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Prime Care-111 Mary's Ave- operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Prime Care-111 Mary's Ave-. The authorized official of this NPI record is Paul Gordon (Dir Fin/admin Phys Enterprise)

NPI
1427393149
Provider Legal Name
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Other Organization Name
PRIME CARE-111 MARY'S AVE-
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
111 MARYS AVE SUITE 3 KINGSTON, NY 12401
Location Phone
(845) 339-3663
Location Fax
(845) 339-3629
Mailing Address
4 ATRIUM DR SUITE 100 ALBANY, NY 12205
Mailing Phone
(518) 435-2740
Mailing Fax
(845) 339-3629
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-06-2012
Last Update Date
01-21-2014
Code Navigator

An internist like Prime Care-111 Mary's Ave- is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
2207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 

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

PAUL GORDON

Authorized Official Title
DIR FIN/ADMIN PHYS ENTERPRISE
Authorized Official Phone
(518) 525-1585

Reviews for PRIME CARE-111 MARY'S AVE-

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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 1427393149, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
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 2 → 4 3 → 6 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 4 + 7 + 6 + 9 + 6 + 1 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1427393149.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Urology
111 MARYS AVE
KINGSTON, NY 12401
Internal Medicine (Cardiovascular Disease)
111 MARYS AVE, SUITE 3
KINGSTON, NY 12401
Internal Medicine (Cardiovascular Disease)
111 MARYS AVE, SUITE 3
KINGSTON, NY 12401
Radiology (Radiation Oncology)
111 MARYS AVE
KINGSTON, NY 12401
Radiology (Radiation Oncology)
111 MARYS AVE, SUITE 1
KINGSTON, NY 12401
Urology
111 MARYS AVE
KINGSTON, NY 12401
Internal Medicine (Cardiovascular Disease)
111 MARYS AVE, SUITE 3
KINGSTON, NY 12401
Urology
111 MARYS AVE
KINGSTON, NY 12401
Physician Assistant
111 MARYS AVE
KINGSTON, NY 12401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427393149, enumerated as an "organization" on December 06, 2012.

The provider is located at 111 MARYS AVE SUITE 3 KINGSTON, NY 12401 and the phone number is (845) 339-3663.

Internal Medicine with taxonomy code 207R00000X.