AJS BROOKLYN MEDICAL PRACTICE PC
NPI 1558707299
Clinic/Center in Brooklyn, NY
NPI Status: Active since May 21, 2013
Contact Information
475 ATLANTIC AVE
SECOND FLOOR
BROOKLYN, NY
ZIP 11217
Phone: (718) 369-4850
Fax: (718) 369-4851
- Organization
- Clinic/Center
- CLIA Number: 33D2063017
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About AJS BROOKLYN MEDICAL PRACTICE PC
This page provides the complete NPI Profile along with additional information for Ajs Brooklyn Medical Practice Pc, a provider established in Brooklyn, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1558707299 assigned on May 2013. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Ajs Brooklyn Medical Practice Pc. The authorized official of this NPI record is Lyly Honig (Cfo)
- NPI
- 1558707299
- Provider Legal Name
- AJS BROOKLYN MEDICAL PRACTICE PC
- Other Organization Name
- AJS BROOKLYN MEDICAL PRACTICE PC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 475 ATLANTIC AVE SECOND FLOOR BROOKLYN, NY 11217
- Location Phone
- (718) 369-4850
- Location Fax
- (718) 369-4851
- Mailing Address
- 6255 W SUNSET BLVD FL 21 LOS ANGELES, CA 90028
- Mailing Phone
- (323) 860-5200
- Mailing Fax
- (718) 369-4851
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2013
- Last Update Date
- 08-18-2020
- Code Navigator
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 33D2063017
- Facility Type
- Physician Office
- Certificate Effective Date
- June 30, 2015
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. MARCELO J. VENEGAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ajs Brooklyn Medical Practice Pc 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 5 | 8 | 7 | 0 | 7 | 2 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 14 | 0 | 14 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 4 + 0 + 1 + 4 + 2 + 1 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1558707299 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
MRS. PAULA ANNE SMITH NP
Nurse Practitioner
(Adult Health)
475 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217
NINA KATHLEEN BEERS PHARM.D.
Pharmacist
475 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217
JUBAIDA R AHMED PHARMD
Pharmacist
475 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217
MS. MICHELINE DUPONT
Nurse Practitioner
475 ATLANTIC AVE
2ND FLOOR
BROOKLYN, NY
ZIP 11217
AIDS HEALTHCARE FOUNDATION
Pharmacy
(Community/Retail Pharmacy)
475 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217
SONU PATEL
Pharmacist
475 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217
ILANA STEPHANIE RUTBERG PHARMD
Pharmacist
475 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558707299, enumerated as an "organization" on May 21, 2013.
The provider is located at 475 ATLANTIC AVE SECOND FLOOR BROOKLYN, NY 11217 and the phone number is (718) 369-4850.
Clinic/Center with taxonomy code 261Q00000X.
