ELLIS HOSPITAL
NPI 1679335772
Clinic/Center in Niskayuna, NY

NPI Status: Active since January 25, 2024

Contact Information

2125 RIVER RD STE 302
NISKAYUNA, NY
ZIP 12309
Phone: (518) 243-1313

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  • Organization
  • Clinic/Center
  • CLIA Number: 33D0714910
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-26-2027

About ELLIS HOSPITAL

This page provides the complete NPI Profile along with additional information for Ellis Hospital, a provider established in Niskayuna, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1679335772 assigned on January 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Cynthia Ann Wicks (Manager Accounts Receivable)

NPI
1679335772
Provider Name
ELLIS HOSPITAL
Entity Type
Organization
Location Address
2125 RIVER RD STE 302 NISKAYUNA, NY 12309
Location Phone
(518) 243-1313
Mailing Address
PO BOX 1022 SCHENECTADY, NY 12301
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-25-2024
Last Update Date
01-25-2024
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

CYNTHIA ANN WICKS

Authorized Official Title
MANAGER ACCOUNTS RECEIVABLE
Authorized Official Phone
(518) 382-2313

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
33D0714910
Facility Type
Hospital
Certificate Effective Date
August 28, 1995
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. DANIEL CHO
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Ellis Hospital 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 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 1679335772, 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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 7 → 14 → 5 3 → 6 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 6 + 3 + 1 + 0 + 7 + 1 + 4 + 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 1679335772.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Registered Nurse
2125 RIVER RD STE 302
NISKAYUNA, NY 12309
Dietitian, Registered
2125 RIVER RD STE 302
NISKAYUNA, NY 12309
Physician Assistant
2125 RIVER RD STE 302
NISKAYUNA, NY 12309
Dietitian, Registered
2125 RIVER RD STE 302
SCHENECTADY, NY 12309
Dietitian, Registered
2125 RIVER RD STE 302
NISKAYUNA, NY 12309
Dietitian, Registered
2125 RIVER RD STE 302
NISKAYUNA, NY 12309
Nurse Practitioner (Family)
2125 RIVER RD STE 302
SCHENECTADY, NY 12309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679335772, enumerated as an "organization" on January 25, 2024.

The provider is located at 2125 RIVER RD STE 302 NISKAYUNA, NY 12309 and the phone number is (518) 243-1313.

Clinic/Center with taxonomy code 261Q00000X.