AXIS MEDICAL PLLC
NPI 1568916906
Nursing Facility/Intermediate Care Facility in Poughkeepsie, NY

NPI Status: Active since August 13, 2016

Contact Information

15 FULTON AVE
POUGHKEEPSIE, NY
ZIP 12603
Phone: (845) 473-8996

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 33D1083292
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-29-2028

About AXIS MEDICAL PLLC

This page provides the complete NPI Profile along with additional information for Axis Medical Pllc, a provider established in Poughkeepsie, New York operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1568916906 assigned on August 2016. The practitioner's primary taxonomy code is 313M00000X with license number F340980-1 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Deepesh Patel M.d. (President)

NPI
1568916906
Provider Name
AXIS MEDICAL PLLC
Entity Type
Organization
Location Address
15 FULTON AVE POUGHKEEPSIE, NY 12603
Location Phone
(845) 473-8996
Mailing Address
15 FULTON AVE POUGHKEEPSIE, NY 12603
Mailing Phone
(845) 473-8996
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-13-2016
Last Update Date
08-13-2016
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
F340980-1
License State
NY
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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)
1302F00000XManaged Care Organizations

Exclusive Provider Organization

F340980-1 (NY)
2305S00000XManaged Care Organizations

Point of Service

F340980-1 (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

DR. DEEPESH PATEL M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(845) 473-8996

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
33D1083292
Facility Type
Physician Office
Certificate Effective Date
April 30, 2026
Certificate Expiration Date
April 29, 2028
Laboratory Director
DR. PATEL S. DEEPESH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Axis Medical 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 1568916906, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 6 → 12 → 3 9 → 18 → 9 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 8 + 1 + 1 + 2 + 9 + 0 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1568916906.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Internal Medicine
15 FULTON AVE, LL
POUGHKEEPSIE, NY 12603
Nurse Practitioner
15 FULTON AVE
POUGHKEEPSIE, NY 12603
Nurse Practitioner (Family)
15 FULTON AVE
POUGHKEEPSIE, NY 12603
Nurse Practitioner (Family)
15 FULTON AVE, # LL
POUGHKEEPSIE, NY 12603
Nurse Practitioner (Family)
15 FULTON AVE
POUGHKEEPSIE, NY 12603
Internal Medicine
15 FULTON AVE
POUGHKEEPSIE, NY 12603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568916906, enumerated as an "organization" on August 13, 2016.

The provider is located at 15 FULTON AVE POUGHKEEPSIE, NY 12603 and the phone number is (845) 473-8996.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.