IBR GEORGE A JERVIS CLINIC
NPI 1750469912
Clinic/Center - Developmental Disabilities in Staten Island, NY
NPI Status: Active since November 02, 2006
Contact Information
1050 FOREST HILL RD
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 494-5151
Fax: (718) 494-2258
- Organization
- Clinic/Center
- Developmental Disabilities
About IBR GEORGE A JERVIS CLINIC
This page provides the complete NPI Profile along with additional information for Ibr George A Jervis Clinic, a provider established in Staten Island, New York operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1750469912 assigned on November 2006. The practitioner's primary taxonomy code is 261QD1600X with license number 224141 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Ibr George A Jervis Clinic. The authorized official of this NPI record is Earl Jefferson (Director Of Central Operations)
- NPI
- 1750469912
- Provider Legal Name
- STATE OF NEW YORK COMPTROLLERS OFFICE
- Other Organization Name
- IBR GEORGE A JERVIS CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1050 FOREST HILL RD STATEN ISLAND, NY 10314
- Location Phone
- (718) 494-5151
- Location Fax
- (718) 494-2258
- Mailing Address
- 44 HOLLAND AVENUE ALBANY, NY 12229
- Mailing Phone
- (518) 402-4333
- Mailing Fax
- (718) 494-2258
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-02-2006
- Last Update Date
- 12-28-2015
- 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
Clinic/Center Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- License No.
- 224141
- License State
- NY
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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.
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 |
|---|---|---|---|
| 00869952 | MEDICAID (05) | NY | |
| 224141 | OTHER (01) | NY | OMRDD OPERATING CERT # |
| A100018662 | MEDICARE PIN (08) | 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 1750469912, 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.
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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750469912, enumerated as an "organization" on November 02, 2006.
The provider is located at 1050 FOREST HILL RD STATEN ISLAND, NY 10314 and the phone number is (718) 494-5151.
Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
