D0E
NPI 1750656021
Skilled Nursing Facility in Elmhurst, NY

NPI Status: Active since March 19, 2012

Contact Information

5040 JACOBUS ST
ELMHURST, NY
ZIP 11373
Phone: (718) 429-7006
Fax: (718) 429-6864

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Skilled Nursing Facility

About D0E

This page provides the complete NPI Profile along with additional information for D0e, a provider established in Elmhurst, New York operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1750656021 assigned on March 2012. The practitioner's primary taxonomy code is 314000000X with license number 443418-1 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Maria Andres Daulo Rn (Staff Nurse)

NPI: 1750656021
Provider Name: D0E
Entity Type: Organization
Location Address: 5040 JACOBUS ST ELMHURST, NY 11373
Location Phone: (718) 429-7006
Location Fax: (718) 429-6864
Mailing Address: 5040 JACOBUS ST ELMHURST, NY 11373
Mailing Phone: (718) 429-7006
Mailing Fax: (718) 429-6864
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-19-2012
Last Update Date: 03-19-2012
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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: Skilled Nursing Facility
Taxonomy Code: 314000000X
Type: Nursing & Custodial Care Facilities
License No.: 443418-1
License State: NY
Taxonomy Description: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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	251J00000X	Agencies	Nursing Care	443418-1 (NY)

Insurance Plans Accepted

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

Medicare

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

Medicaid

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: MRS. MARIA ANDRES DAULO RN
Authorized Official Title: STAFF NURSE
Authorized Official Phone: (718) 429-7006

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
0440065	MEDICAID (05)	NY

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.
1	7	5	0	6	5	6	0	2	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	12	5	12	0	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 5 + 1 + 2 + 0 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1									1

The NPI number 1750656021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

DORIS A JAKUBOSKI R.N.

Registered Nurse

(School)

5040 JACOBUS ST
IS 5Q
ELMHURST, NY
ZIP 11373

(718) 396-9914

View Profile

MICHELLE MARTORI MA, CCC-SLP, TSSLD

Speech-Language Pathologist