STATMD
NPI 1710020417
Clinic/Center - Emergency Care in New Hyde Park, NY

NPI Status: Active since February 14, 2007

Contact Information

2090 JERICHO TPKE
NEW HYDE PARK, NY
ZIP 11040
Phone: (516) 352-7828
Fax: (516) 352-7827

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  • Organization
  • Clinic/Center
  • Emergency Care
  • CLIA Number: 33D1034831
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-24-2027

About STATMD

This page provides the complete NPI Profile along with additional information for Statmd, a provider established in New Hyde Park, New York operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1710020417 assigned on February 2007. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Statmd. The authorized official of this NPI record is Ms. Safia Huda (Office Manager)

NPI
1710020417
Provider Legal Name
STATMD PHYSICIANS, PLLC
Other Organization Name
STATMD
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2090 JERICHO TPKE NEW HYDE PARK, NY 11040
Location Phone
(516) 352-7828
Location Fax
(516) 352-7827
Mailing Address
2090 JERICHO TPKE NEW HYDE PARK, NY 11040
Mailing Phone
(516) 352-7828
Mailing Fax
(516) 352-7827
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2007
Last Update Date
03-08-2022
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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 Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities

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

MS. SAFIA HUDA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(516) 352-7828

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
33D1034831
Facility Type
Physician Office
Certificate Effective Date
June 25, 2025
Certificate Expiration Date
June 24, 2027
Laboratory Director
DR. JONATHAN ARONBAYEV
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Statmd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1710020417
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272002042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 0 + 2 + 0 + 4 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1710020417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

LI MEDICAL GROUP PLLC

Internal Medicine

2090 JERICHO TPKE
NEW HYDE PARK, NY
ZIP 11040

(516) 352-7828

DR. INDRAVADAN DAVE MD

General Practice

2090 JERICHO TPKE
NEW HYDE PARK, NY
ZIP 11040

(513) 352-7828

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710020417, enumerated as an "organization" on February 14, 2007.

The provider is located at 2090 JERICHO TPKE NEW HYDE PARK, NY 11040 and the phone number is (516) 352-7828.

Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.