MASSAPEQUA MEDICAL PC
NPI 1609144096
Clinic/Center - Multi-Specialty in Massapequa, NY
NPI Status: Active since December 13, 2011
Contact Information
727 N BROADWAY
SUITE A1
MASSAPEQUA, NY
ZIP 11758
Phone: (516) 798-8090
Fax: (516) 795-3606
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 33D2258349
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-26-2027
About MASSAPEQUA MEDICAL PC
This page provides the complete NPI Profile along with additional information for Massapequa Medical Pc, a provider established in Massapequa, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1609144096 assigned on December 2011. The practitioner's primary taxonomy code is 261QM1300X with license number 233296 (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Marwan Hammoud M.d. (President)
- NPI
- 1609144096
- Provider Name
- MASSAPEQUA MEDICAL PC
- Entity Type
- Organization
- Location Address
- 727 N BROADWAY SUITE A1 MASSAPEQUA, NY 11758
- Location Phone
- (516) 798-8090
- Location Fax
- (516) 795-3606
- Mailing Address
- 727 N BROADWAY SUITE A1 MASSAPEQUA, NY 11758
- Mailing Phone
- (516) 798-8090
- Mailing Fax
- (516) 795-3606
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2011
- Last Update Date
- 12-13-2011
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 233296
- License State
- NY
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
- 33D2258349
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- April 20, 2022
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. EDUARD BOVER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Massapequa Medical 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 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 1609144096, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
MASSAPEQUA, NY 11758
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609144096, enumerated as an "organization" on December 13, 2011.
The provider is located at 727 N BROADWAY SUITE A1 MASSAPEQUA, NY 11758 and the phone number is (516) 798-8090.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
