MOHAWK VALLEY PHYSICAL MEDICINE AND REHAB
NPI 1720051428
Physical Medicine & Rehabilitation in Amsterdam, NY

NPI Status: Active since February 12, 2006

Contact Information

4988 STATE HIGHWAY 30
ST. MARY'S HOSPITAL MEMORIAL CAMPUS
AMSTERDAM, NY
ZIP 12010
Phone: (518) 841-3481
Fax: (518) 841-3481

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  • Organization
  • Physical Medicine & Rehabilitation

About MOHAWK VALLEY PHYSICAL MEDICINE AND REHAB

This page provides the complete NPI Profile along with additional information for Mohawk Valley Physical Medicine And Rehab, a provider established in Amsterdam, New York operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1720051428 assigned on February 2006. The practitioner's primary taxonomy code is 208100000X with license number 197917 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. John Lewis Fedullo D. O. (President)

NPI
1720051428
Provider Name
MOHAWK VALLEY PHYSICAL MEDICINE AND REHAB
Entity Type
Organization
Location Address
4988 STATE HIGHWAY 30 ST. MARY'S HOSPITAL MEMORIAL CAMPUS AMSTERDAM, NY 12010
Location Phone
(518) 841-3481
Location Fax
(518) 841-3481
Mailing Address
4988 STATE HIGHWAY 30 AMSTERDAM, NY 12010
Mailing Phone
(518) 841-3481
Mailing Fax
(518) 841-3481
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2006
Last Update Date
03-07-2013
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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

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
197917
License State
NY
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. JOHN LEWIS FEDULLO D. O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(518) 841-3481

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1538364237OTHER (01)NYINDIVIDUAL NPI
OPPMR 197917-8OTHER (01)NYWORKMANS COMP
01762629MEDICAID (05)NY 
AA0882MEDICARE PIN (08)NY 
X61105MEDICARE UPIN (02)NY 

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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 1720051428, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 2 → 4 0 → 0 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 0 + 5 + 2 + 4 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1720051428.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
Radiology (Diagnostic Radiology)
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Family Medicine
4988 STATE HIGHWAY 30, ST. MARY'S HOSPITAL, MEMORIAL CAMPUS FAM HLTH CNTR
AMSTERDAM, NY 12010
Nurse Practitioner
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Physician Assistant
4988 STATE HIGHWAY 30, ST. MARY'S HOSPITAL, MEMORIAL CAMPUS FAMILY HEALTH CENT
AMSTERDAM, NY 12010
Pediatrics
4988 STATE HIGHWAY 30, 1ST FLOOR
AMSTERDAM, NY 12010
Nurse Practitioner (Family)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL HEALTH CENTER
AMSTERDAM, NY 12010
Family Medicine
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL HEALTH CENTER
AMSTERDAM, NY 12010
Nurse Practitioner (Family)
4988 STATE HIGHWAY 30, AMSTERDM FAMILY HEALTH CENTER
AMSTERDAM, NY 12010
Physician Assistant
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Psychologist (Clinical)
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Family Medicine
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Nurse Practitioner (Psychiatric/Mental Health)
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Art Therapist
4988 STATE HIGHWAY 30, CHILDREN'S MENTAL HEALTH OP CLINIC
AMSTERDAM, NY 12010
Nurse Practitioner (Family)
4988 STATE HIGHWAY 30, FIRST FLOOR
AMSTERDAM, NY 12010
Psychiatry & Neurology (Neurology)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
Skilled Nursing Facility
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Rehabilitation Unit
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Medicare Defined Swing Bed Unit
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Physical Therapy Assistant
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720051428, enumerated as an "organization" on February 12, 2006.

The provider is located at 4988 STATE HIGHWAY 30 ST. MARY'S HOSPITAL MEMORIAL CAMPUS AMSTERDAM, NY 12010 and the phone number is (518) 841-3481.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.