BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
NPI 1437231693
Clinic/Center - Federally Qualified Health Center (FQHC) in Bronx, NY

NPI Status: Active since October 19, 2006

Contact Information

1265 FRANKLIN AVE
BRONX, NY
ZIP 10456
Phone: (718) 901-8600
Fax: (718) 293-1475

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 33D0006588
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-26-2027

About BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Bronxcare Dr. Martin Luther King Jr. Health Center, a primary care provider established in Bronx, New York operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1437231693 assigned on October 2006. The practitioner's primary taxonomy code is 261QF0400X with license number 7000212R (NY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Victor G Demarco Cpa (Senior Vp-chief Financial Officer)

NPI
1437231693
Provider Name
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
Entity Type
Organization
Location Address
1265 FRANKLIN AVE BRONX, NY 10456
Location Phone
(718) 901-8600
Location Fax
(718) 293-1475
Mailing Address
1276 FULTON AVE BRONX, NY 10456
Mailing Phone
(718) 901-8600
Mailing Fax
(718) 293-1475
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2006
Last Update Date
05-31-2018
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A primary care provider (PCP) like Bronxcare Dr. Martin Luther King Jr. Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
7000212R
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. VICTOR G DEMARCO CPA

Authorized Official Title
SENIOR VP-CHIEF FINANCIAL OFFICER
Authorized Official Phone
(718) 901-8600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00244573MEDICAID (05)NY 
W0437OTHER (01)NYBLUE CROSS

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
33D0006588
Facility Type
Hospital
Certificate Effective Date
October 02, 2003
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. AAM A. BAQUI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bronxcare Dr. Martin Luther King Jr. Health Center 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 BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER

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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 1437231693, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 3 → 6 2 → 4 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 6 + 7 + 4 + 3 + 2 + 6 + 1 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1437231693.

Other Providers at the Same Location


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

Internal Medicine
1265 FRANKLIN AVE
BRONX, NY 10456
Internal Medicine
1265 FRANKLIN AVE
BRONX, NY 10456
Pediatrics
1265 FRANKLIN AVE
BRONX, NY 10456
Social Worker (Clinical)
1265 FRANKLIN AVE
BRONX, NY 10456
Social Worker (Clinical)
1265 FRANKLIN AVE, 3RD FLOOR
BRONX, NY 10456
Nutritionist
1265 FRANKLIN AVE
BRONX, NY 10456
Pediatrics
1265 FRANKLIN AVE
BRONX, NY 10456
Social Worker (Clinical)
1265 FRANKLIN AVE
BRONX, NY 10456
Psychiatry & Neurology (Psychiatry)
1265 FRANKLIN AVE
BRONX, NY 10456
Psychiatry & Neurology (Psychiatry)
1265 FRANKLIN AVE
BRONX, NY 10456
Psychiatry & Neurology (Psychiatry)
1265 FRANKLIN AVE
BRONX, NY 10456
Eyewear Supplier
1265 FRANKLIN AVE
BRONX, NY 10456
Social Worker
1265 FRANKLIN AVE
BRONX, NY 10456
Nurse Practitioner (Family)
1265 FRANKLIN AVE
BRONX, NY 10456
Psychiatry & Neurology (Psychiatry)
1265 FRANKLIN AVE
BRONX, NY 10456
Nurse Practitioner (Psychiatric/Mental Health)
1265 FRANKLIN AVE
BRONX, NY 10456
Pediatrics
1265 FRANKLIN AVE, MLKJR HEALTH CENTER, 3RD FLOOR, PEDIATRICS
BRONX, NY 10456
Nurse Practitioner (Psychiatric/Mental Health)
1265 FRANKLIN AVE
BRONX, NY 10456
Social Worker
1265 FRANKLIN AVE
BRONX, NY 10456
Social Worker
1265 FRANKLIN AVE
BRONX, NY 10456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437231693, enumerated as an "organization" on October 19, 2006.

The provider is located at 1265 FRANKLIN AVE BRONX, NY 10456 and the phone number is (718) 901-8600.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.