ST TEREIZA OFF OF PHY TER PC
NPI 1568657575
Specialist in Centereach, NY

NPI Status: Active since September 12, 2007

Contact Information

1787 MIDDLE COUNTRY RD
CENTEREACH, NY
ZIP 11720
Phone: (631) 467-3381
Fax: (631) 467-3383

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  • Organization
  • Specialist

About ST TEREIZA OFF OF PHY TER PC

This page provides the complete NPI Profile along with additional information for St Tereiza Off Of Phy Ter Pc, a provider established in Centereach, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1568657575 assigned on September 2007. The practitioner's primary taxonomy code is 174400000X with license number 021295 (NY). The provider is registered as an organization and their NPI record was last updated 2 years ago. St Tereiza Off Of Phy Ter Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Malak Ishak Azab Pt, Dpt (Doctor Of Physical Therapy)

NPI
1568657575
Provider Name
ST TEREIZA OFF OF PHY TER PC
Entity Type
Organization
Location Address
1787 MIDDLE COUNTRY RD CENTEREACH, NY 11720
Location Phone
(631) 467-3381
Location Fax
(631) 467-3383
Mailing Address
16 DEER LN EAST SETAUKET, NY 11733
Mailing Phone
(631) 467-3381
Mailing Fax
(631) 467-3383
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2007
Last Update Date
06-19-2023
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
021295
License State
NY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

DR. MALAK ISHAK AZAB PT, DPT

Authorized Official Title
DOCTOR OF PHYSICAL THERAPY
Authorized Official Phone
(631) 467-3381

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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.
1568657575
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512812514514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 5 + 1 + 4 + 5 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1568657575 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

AA MEDICAL, PC

Orthopaedic Surgery

1787 MIDDLE COUNTRY RD
CENTEREACH, NY
ZIP 11720

(631) 981-2663

MICHAEL DESOIZA LMT

Massage Therapist

1787 MIDDLE COUNTRY RD
CENTEREACH, NY
ZIP 11720

(631) 767-9337

KYUNG D. RYU M.S., L.AC.

Acupuncturist

1787 MIDDLE COUNTRY RD
CENTEREACH, NY
ZIP 11720

(718) 321-3090

DR. MALAK ISHAK AZAB PT,DPT

Physical Therapist

1787 MIDDLE COUNTRY RD
CENTEREACH, NY
ZIP 11720

(631) 467-3381

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568657575, enumerated as an "organization" on September 12, 2007.

The provider is located at 1787 MIDDLE COUNTRY RD CENTEREACH, NY 11720 and the phone number is (631) 467-3381.

Specialist with taxonomy code 174400000X.