ELLIS PRIMARY CARE - CLIFTON PARK
NPI 1639659931
Clinic/Center - Primary Care in Halfmoon, NY
NPI Status: Active since August 16, 2018
Contact Information
103 SITTERLY RD STE 2300
HALFMOON, NY
ZIP 12065
Phone: (518) 579-2650
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 33D2039682
- CLIA Cert. Type: Other - URGENT CARE CENTER
- CLIA Exp. Date: 03-26-2027
About ELLIS PRIMARY CARE - CLIFTON PARK
This page provides the complete NPI Profile along with additional information for Ellis Primary Care - Clifton Park, a primary care provider established in Halfmoon, New York operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1639659931 assigned on August 2018. The practitioner's primary taxonomy code is 261QP2300X with license number 4601001H (NY). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Ellis Primary Care - Clifton Park. The authorized official of this NPI record is Paul A Milton (Ceo)
- NPI
- 1639659931
- Provider Legal Name
- ELLIS HOSPITAL
- Other Organization Name
- ELLIS PRIMARY CARE - CLIFTON PARK
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 103 SITTERLY RD STE 2300 HALFMOON, NY 12065
- Location Phone
- (518) 579-2650
- Mailing Address
- 103 SITTERLY RD STE 2300 HALFMOON, NY 12065
- Mailing Phone
- (518) 579-2650
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-16-2018
- Last Update Date
- 08-16-2018
- Code Navigator
A primary care provider (PCP) like Ellis Primary Care - Clifton Park sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 4601001H
- 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
- 33D2039682
- Facility Type
- Other - URGENT CARE CENTER
- Certificate Effective Date
- April 16, 2012
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. XIAOHE YANG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ellis Primary Care - Clifton Park after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 6 | 3 | 9 | 6 | 5 | 9 | 9 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 12 | 5 | 18 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 2 + 5 + 1 + 8 + 9 + 6 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1639659931 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
MR. MICHAEL FRANCIS O'BRIEN PA-C
Physician Assistant
103 SITTERLY RD STE 2300
HALFMOON, NY
ZIP 12065
MAHUWA MUKHERJEE FNP
Nurse Practitioner
(Family)
103 SITTERLY RD STE 2300
HALFMOON, NY
ZIP 12065
CHRISTINA FALCHI FNP
Nurse Practitioner
(Family)
103 SITTERLY RD STE 2300
HALFMOON, NY
ZIP 12065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639659931, enumerated as an "organization" on August 16, 2018.
The provider is located at 103 SITTERLY RD STE 2300 HALFMOON, NY 12065 and the phone number is (518) 579-2650.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
