MONIKA OPALKO
NPI 1679247647
Physician Assistant in Ardsley, NY
NPI Status: Active since August 04, 2021
Contact Information
1053 SAW MILL RIVER RD # LL1
ARDSLEY, NY
ZIP 10502
Phone: (844) 566-2723
Fax: (914) 351-2316
- Individual
- Female
- Physician Assistant
- Opted-Out Medicare
About MONIKA OPALKO
This page provides the complete NPI Profile along with additional information for Monika Opalko, a primary care provider established in Ardsley, New York with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1679247647 assigned on August 2021. The practitioner's primary taxonomy code is 363A00000X with license number 026690 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1679247647
- Provider Name
- MONIKA OPALKO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1053 SAW MILL RIVER RD # LL1 ARDSLEY, NY 10502
- Location Phone
- (844) 566-2723
- Location Fax
- (914) 351-2316
- Mailing Address
- 1053 SAW MILL RIVER RD # LL1 ARDSLEY, NY 10502
- Mailing Phone
- (844) 566-2723
- Mailing Fax
- (914) 351-2316
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-04-2021
- Last Update Date
- 09-10-2023
- Code Navigator
A primary care provider (PCP) like Monika Opalko 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 .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Monika Opalko opted out of Medicare effective on 04-01-2023 until 04-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 026690
- License State
- NY
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2023
Opt-Out End Date: 04-01-2027
Eligible to Order and Refer? No
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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 1679247647, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ARDSLEY, NY 10502
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679247647, enumerated as an "individual" on August 04, 2021.
The provider is located at 1053 SAW MILL RIVER RD # LL1 ARDSLEY, NY 10502 and the phone number is (844) 566-2723.
Physician Assistant with taxonomy code 363A00000X.
