SERVICES FOR THE UNDERSERVED 92ND ST ICF
NPI 1619354552
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ozone Park, NY

NPI Status: Active since April 29, 2015

Contact Information

101-38 92ND STREET
OZONE PARK, NY
ZIP 11416
Phone: (917) 408-1642
Fax: (855) 370-9384

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  • Residential Treatment Facility, Intellec...

About SERVICES FOR THE UNDERSERVED 92ND ST ICF

This page provides the complete NPI Profile along with additional information for Services For The Underserved 92nd St Icf, a provider established in Ozone Park, New York operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1619354552 assigned on April 2015. The practitioner's primary taxonomy code is 320600000X with license number 7559303 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Services For The Underserved 92nd St Icf. The authorized official of this NPI record is Lin Yang Mba (Director - Medicaid Billing)

NPI
1619354552
Provider Legal Name
SERVICES FOR THE UNDERSERVED, INC.
Other Organization Name
SERVICES FOR THE UNDERSERVED 92ND ST ICF
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
101-38 92ND STREET OZONE PARK, NY 11416
Location Phone
(917) 408-1642
Location Fax
(855) 370-9384
Mailing Address
305 7TH AVE 10TH FLOOR NEW YORK, NY 10001
Mailing Phone
(917) 408-1642
Mailing Fax
(855) 370-9384
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2015
Last Update Date
04-29-2015
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
7559303
License State
NY
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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

LIN YANG MBA

Authorized Official Title
DIRECTOR - MEDICAID BILLING
Authorized Official Phone
(917) 408-1642

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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.
1619354552
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629658510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 6 + 5 + 8 + 5 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1619354552 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619354552, enumerated as an "organization" on April 29, 2015.

The provider is located at 101-38 92ND STREET OZONE PARK, NY 11416 and the phone number is (917) 408-1642.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.