MYLAUREL MEDICAL GROUP NY, PLLC
NPI 1477214237
General Practice in New York, NY

NPI Status: Active since January 04, 2022

Contact Information

885 3RD AVE FL 29
NEW YORK, NY
ZIP 10022
Phone: (917) 613-9004

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  • Organization
  • General Practice
  • CLIA Number: 33D2256726
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-27-2026

About MYLAUREL MEDICAL GROUP NY, PLLC

This page provides the complete NPI Profile along with additional information for Mylaurel Medical Group Ny, Pllc, a primary care provider established in New York, New York operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1477214237 assigned on January 2022. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Mylaurel Medical Group Ny, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. 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 Branko Kolvek (Coo)

NPI
1477214237
Provider Name
MYLAUREL MEDICAL GROUP NY, PLLC
Entity Type
Organization
Location Address
885 3RD AVE FL 29 NEW YORK, NY 10022
Location Phone
(917) 613-9004
Mailing Address
885 3RD AVE FL 29 NEW YORK, NY 10022
Mailing Phone
(917) 613-9004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2022
Last Update Date
01-09-2024
Code Navigator

A primary care provider (PCP) like Mylaurel Medical Group Ny, Pllc 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 

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

BRANKO KOLVEK

Authorized Official Title
COO
Authorized Official Phone
(347) 497-2452

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
33D2256726
Facility Type
Physician Office
Certificate Effective Date
March 28, 2024
Certificate Expiration Date
March 27, 2026
Laboratory Director
DR. CLAY G. WATSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mylaurel Medical Group Ny, Pllc 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 1477214237, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 7 → 14 → 5 2 → 4 4 → 8 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 + 4 + 7 + 4 + 1 + 8 + 2 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1477214237.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Preferred Provider Organization
885 3RD AVE FL 29
NEW YORK, NY 10022
Skilled Nursing Facility
885 3RD AVE FL 29
NEW YORK, NY 10022
General Practice
885 3RD AVE FL 29
NEW YORK, NY 10022
General Practice
885 3RD AVE FL 29
NEW YORK, NY 10022
Registered Nurse (Case Management)
885 3RD AVE FL 29
NEW YORK, NY 10022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477214237, enumerated as an "organization" on January 04, 2022.

The provider is located at 885 3RD AVE FL 29 NEW YORK, NY 10022 and the phone number is (917) 613-9004.

General Practice with taxonomy code 208D00000X.