METROPLUS HEALTH PLAN INC.
NPI 1730459900
Health Maintenance Organization in New York, NY
NPI Status: Active since January 05, 2012
Contact Information
160 WATER ST
3RD FLOOR
NEW YORK, NY
ZIP 10038
Phone: (212) 908-8600
Fax: (212) 908-8780
- Organization
- Health Maintenance Organization
About METROPLUS HEALTH PLAN INC.
This page provides the complete NPI Profile along with additional information for Metroplus Health Plan Inc., a provider established in New York, New York operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1730459900 assigned on January 2012. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. John Cuda (Cfo)
- NPI
- 1730459900
- Provider Name
- METROPLUS HEALTH PLAN INC.
- Entity Type
- Organization
- Location Address
- 160 WATER ST 3RD FLOOR NEW YORK, NY 10038
- Location Phone
- (212) 908-8600
- Location Fax
- (212) 908-8780
- Mailing Address
- 160 WATER ST 3RD FLOOR NEW YORK, NY 10038
- Mailing Phone
- (212) 908-8600
- Mailing Fax
- (212) 908-8780
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2012
- Last Update Date
- 01-05-2012
- Code Navigator
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
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management |
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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 1730459900, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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.
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
NEW YORK, NY 10038
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730459900, enumerated as an "organization" on January 05, 2012.
The provider is located at 160 WATER ST 3RD FLOOR NEW YORK, NY 10038 and the phone number is (212) 908-8600.
Health Maintenance Organization with taxonomy code 302R00000X.
