SHIDONG SU, MD,PC
NPI 1467542530
Psychiatry & Neurology - Neurology in Flushing, NY

NPI Status: Active since October 12, 2006

Contact Information

13621 ROOSEVELT AVE
SUITE 305
FLUSHING, NY
ZIP 11354
Phone: (718) 888-1803
Fax: (718) 888-0957

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  • Organization
  • Psychiatry & Neurology
  • Neurology

About SHIDONG SU, MD,PC

This page provides the complete NPI Profile along with additional information for Shidong Su, Md,pc, a provider established in Flushing, New York operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1467542530 assigned on October 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 215043 (NY). The provider is registered as an organization and their NPI record was last updated 6 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 Shidong Su M.d. (Director)

NPI
1467542530
Provider Name
SHIDONG SU, MD,PC
Entity Type
Organization
Location Address
13621 ROOSEVELT AVE SUITE 305 FLUSHING, NY 11354
Location Phone
(718) 888-1803
Location Fax
(718) 888-0957
Mailing Address
13621 ROOSEVELT AVE SUITE 305 FLUSHING, NY 11354
Mailing Phone
(718) 888-1803
Mailing Fax
(718) 888-0957
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2006
Last Update Date
08-22-2020
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
215043
License State
NY
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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.

Insurance Plans Accepted

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

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

SHIDONG SU M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(718) 888-1803

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
05353OTHER (01)NYGHI-MEDICARE
02159286MEDICAID (05)NY 

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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 1467542530, 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
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
3
Doubled → 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 6 → 12 → 3 5 → 10 → 1 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 + 4 + 1 + 2 + 7 + 1 + 0 + 4 + 4 + 5 + 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 1467542530.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine
13621 ROOSEVELT AVE, SUITE 205
FLUSHING, NY 11354
Physical Therapist
13621 ROOSEVELT AVE, SUITE-409,
FLUSHING, NY 11354
Physical Therapist
13621 ROOSEVELT AVE, STE 409
FLUSHING, NY 11354
Physical Therapist
13621 ROOSEVELT AVE, STE 409
FLUSHING, NY 11354
Specialist
13621 ROOSEVELT AVE, STE 409
FLUSHING, NY 11354
Internal Medicine
13621 ROOSEVELT AVE, SUITE 205
FLUSHING, NY 11354
Internal Medicine
13621 ROOSEVELT AVE, SUITE 205
FLUSHING, NY 11354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467542530, enumerated as an "organization" on October 12, 2006.

The provider is located at 13621 ROOSEVELT AVE SUITE 305 FLUSHING, NY 11354 and the phone number is (718) 888-1803.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.