LASER AND VARICOSE VEIN TREATMENT CENTER OF STATEN ISLAND LLP
NPI 1558450312
Surgery - Vascular Surgery in Staten Island, NY

NPI Status: Active since October 12, 2006

Contact Information

500 SEAVIEW AVE
STE 240
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 667-1777
Fax: (718) 667-4380

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  • Organization
  • Surgery
  • Vascular Surgery
  • CLIA Number: 33D1088850
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-04-2026

About LASER AND VARICOSE VEIN TREATMENT CENTER OF STATEN ISLAND LLP

This page provides the complete NPI Profile along with additional information for Laser And Varicose Vein Treatment Center Of Staten Island Llp, a provider established in Staten Island, New York operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1558450312 assigned on October 2006. The practitioner's primary taxonomy code is 2086S0129X with license number 119772 (NY). The provider is registered as an organization and their NPI record was last updated 3 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 Kimberly Chemo (Credentialing Administrator)

NPI
1558450312
Provider Name
LASER AND VARICOSE VEIN TREATMENT CENTER OF STATEN ISLAND LLP
Entity Type
Organization
Location Address
500 SEAVIEW AVE STE 240 STATEN ISLAND, NY 10305
Location Phone
(718) 667-1777
Location Fax
(718) 667-4380
Mailing Address
500 SEAVIEW AVE STE 240 STATEN ISLAND, NY 10305
Mailing Phone
(718) 667-1777
Mailing Fax
(718) 667-4380
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2006
Last Update Date
10-03-2023
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
119772
License State
NY
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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

KIMBERLY CHEMO

Authorized Official Title
CREDENTIALING ADMINISTRATOR
Authorized Official Phone
(732) 387-2747

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
33D1088850
Facility Type
Physician Office
Certificate Effective Date
September 05, 2024
Certificate Expiration Date
September 04, 2026
Laboratory Director
INAM UL HAQ MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Laser And Varicose Vein Treatment Center Of Staten Island Llp 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 1558450312, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 5 → 10 → 1 4 → 8 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 8 + 5 + 0 + 3 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1558450312.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Plastic Surgery
500 SEAVIEW AVE
STATEN ISLAND, NY 10305
Social Worker
500 SEAVIEW AVE
STATEN ISLAND, NY 10305
Specialist (Research Study)
500 SEAVIEW AVE, SUITE 200A
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Psychiatry)
500 SEAVIEW AVE
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Psychiatry)
500 SEAVIEW AVE, STE. 200
STATEN ISLAND, NY 10305
Audiologist
500 SEAVIEW AVE
STATEN ISLAND, NY 10305
Nurse Practitioner (Family)
500 SEAVIEW AVE, SUITE 103
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Psychiatry)
500 SEAVIEW AVE, SUITE 200A
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
500 SEAVIEW AVE, SUITE 200A
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Child & Adolescent Psychiatry)
500 SEAVIEW AVE, SUITE 200A
STATEN ISLAND, NY 10305
Physician Assistant
500 SEAVIEW AVE, SUITE 240
STATEN ISLAND, NY 10305
Surgery
500 SEAVIEW AVE
STATEN ISLAND, NY 10305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558450312, enumerated as an "organization" on October 12, 2006.

The provider is located at 500 SEAVIEW AVE STE 240 STATEN ISLAND, NY 10305 and the phone number is (718) 667-1777.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.