BROCKPORT ASAP MEDICAL CARE
NPI 1477996353
Clinic/Center - Urgent Care in Brockport, NY

NPI Status: Active since April 10, 2013

Contact Information

6565 4TH SECTION RD
SUITE 100
BROCKPORT, NY
ZIP 14420
Phone: (585) 637-7006

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 33D2060532
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-11-2027

About BROCKPORT ASAP MEDICAL CARE

This page provides the complete NPI Profile along with additional information for Brockport Asap Medical Care, a provider established in Brockport, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1477996353 assigned on April 2013. The practitioner's primary taxonomy code is 261QU0200X with license number 227675 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Brockport Asap Medical Care. The authorized official of this NPI record is Hany G Nissiem Md (President)

NPI
1477996353
Provider Legal Name
BROCKPORT MEDICAL CARE PLLC
Other Organization Name
BROCKPORT ASAP MEDICAL CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6565 4TH SECTION RD SUITE 100 BROCKPORT, NY 14420
Location Phone
(585) 637-7006
Mailing Address
6565 4TH SECTION RD SUITE 300 BROCKPORT, NY 14420
Mailing Phone
(585) 395-0620
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2013
Last Update Date
04-10-2013
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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

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
227675
License State
NY

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

HANY G NISSIEM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(585) 637-7006

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
33D2060532
Facility Type
Physician Office
Certificate Effective Date
June 12, 2025
Certificate Expiration Date
June 11, 2027
Laboratory Director
DR. HANY G. NISSIEM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brockport Asap Medical Care 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 1477996353, 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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3 5 → 10 → 1

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 + 1 + 8 + 9 + 1 + 2 + 3 + 1 + 0 + 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 1477996353.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
6565 4TH SECTION RD, SUITE 700
BROCKPORT, NY 14420
Podiatrist (Foot & Ankle Surgery)
6565 4TH SECTION RD, SUITE 700
BROCKPORT, NY 14420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477996353, enumerated as an "organization" on April 10, 2013.

The provider is located at 6565 4TH SECTION RD SUITE 100 BROCKPORT, NY 14420 and the phone number is (585) 637-7006.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.