DERMATOLOGY ASSOCIATES OF ITHACA, LLC
NPI 1609170992
Dermatology in Ithaca, NY

NPI Status: Active since January 01, 2011

Contact Information

1051 CRAFT RD
ITHACA, NY
ZIP 14850
Phone: (607) 257-1107
Fax: (607) 257-0369

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  • Organization
  • Dermatology
  • CLIA Number: 33D2112822
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About DERMATOLOGY ASSOCIATES OF ITHACA, LLC

This page provides the complete NPI Profile along with additional information for Dermatology Associates Of Ithaca, Llc, a provider established in Ithaca, New York operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1609170992 assigned on January 2011. The practitioner's primary taxonomy code is 207N00000X with license number 250861 (NY). The provider is registered as an organization and their NPI record was last updated 2 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 Katie Terrazas (Office Manager)

NPI
1609170992
Provider Name
DERMATOLOGY ASSOCIATES OF ITHACA, LLC
Entity Type
Organization
Location Address
1051 CRAFT RD ITHACA, NY 14850
Location Phone
(607) 257-1107
Location Fax
(607) 257-0369
Mailing Address
1051 CRAFT RD ITHACA, NY 14850
Mailing Phone
(607) 257-1107
Mailing Fax
(607) 257-0369
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-01-2011
Last Update Date
10-09-2024
Code Navigator

A dermatologist like Dermatology Associates Of Ithaca, Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Secondary Locations

  • 3773 Luker Rd
    Cortland, NY 13045
    (607) 257-1107

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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
250861
License State
NY
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

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

KATIE TERRAZAS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(607) 257-1107

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
33D2112822
Facility Type
Physician Office
Certificate Effective Date
June 15, 2021
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. JOSEPHINE C. MCALLISTER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Dermatology Associates Of Ithaca, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1609170992, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 0 → 0 1 → 2 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 2 + 7 + 0 + 9 + 1 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1609170992.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
1051 CRAFT RD
ITHACA, NY 14850
Dermatology
1051 CRAFT RD
ITHACA, NY 14850
Nurse Practitioner
1051 CRAFT RD
ITHACA, NY 14850
Nurse Practitioner (Family)
1051 CRAFT RD
ITHACA, NY 14850
Registered Nurse
1051 CRAFT RD
ITHACA, NY 14850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609170992, enumerated as an "organization" on January 01, 2011.

The provider is located at 1051 CRAFT RD ITHACA, NY 14850 and the phone number is (607) 257-1107.

Dermatology with taxonomy code 207N00000X.