OPIOID TREATMENT PROGRAM
NPI 1700480050
Clinic/Center - Methadone in Staten Island, NY

NPI Status: Active since November 27, 2020

Contact Information

392 SEGUINE AVE
STATEN ISLAND, NY
ZIP 10309
Phone: (718) 226-3815
Fax: (718) 226-8144

NPI Profile Information
Primary Taxonomy
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Methadone

About OPIOID TREATMENT PROGRAM

This page provides the complete NPI Profile along with additional information for Opioid Treatment Program, a provider established in Staten Island, New York operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1700480050 assigned on November 2020. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Opioid Treatment Program. The authorized official of this NPI record is Mrs. Michele L Cusack (Senior Vice President & Cfo)

NPI: 1700480050
Provider Legal Name: STATEN ISLAND UNIVERSITY HOSPITAL
Other Organization Name: OPIOID TREATMENT PROGRAM
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 392 SEGUINE AVE STATEN ISLAND, NY 10309
Location Phone: (718) 226-3815
Location Fax: (718) 226-8144
Mailing Address: 392 SEGUINE AVE STATEN ISLAND, NY 10309
Mailing Phone: (718) 226-3815
Mailing Fax: (718) 226-8144
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-27-2020
Last Update Date: 02-05-2021
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Location Map

Secondary Locations

567 E 105th St
Brooklyn, NY 11236
(718) 226-4930
375 Seguine Ave
Staten Island, NY 10309
(718) 226-3815
111 Water St
Staten Island, NY 10304
(718) 226-4990
475 Seaview Ave
Staten Island, NY 10305
(718) 226-5797

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 Methadone
Taxonomy Code: 261QM2800X
Type: Ambulatory Health Care Facilities
Taxonomy Description: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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: MRS. MICHELE L CUSACK
Authorized Official Title: SENIOR VICE PRESIDENT & CFO
Authorized Official Phone: (516) 321-6058

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 1700480050, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

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 4 → 8 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 8 + 8 + 0 + 0 + 1 + 0 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1700480050.