210 MJD MEDICAL, PLLC
NPI 1750712220
Clinic/Center - Multi-Specialty in Far Rockaway, NY

NPI Status: Active since December 09, 2013

Contact Information

228 BEACH 20TH ST
FAR ROCKAWAY, NY
ZIP 11691
Phone: (917) 847-4980
Fax: (833) 424-4357

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 33D2155349
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-26-2026

About 210 MJD MEDICAL, PLLC

This page provides the complete NPI Profile along with additional information for 210 Mjd Medical, Pllc, a provider established in Far Rockaway, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1750712220 assigned on December 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Dinesh Verma (Delegated Official)

NPI
1750712220
Provider Legal Name
210 MJD MEDICAL, PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
228 BEACH 20TH ST FAR ROCKAWAY, NY 11691
Location Phone
(917) 847-4980
Location Fax
(833) 424-4357
Mailing Address
249 OLD COUNTRY RD CARLE PLACE, NY 11514
Mailing Phone
(917) 847-4980
Mailing Fax
(833) 424-4357
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2013
Last Update Date
09-02-2025
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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 Multi-Specialty

Taxonomy Code
261QM1300X
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

DINESH VERMA

Authorized Official Title
DELEGATED OFFICIAL
Authorized Official Phone
(917) 847-4980

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
33D2155349
Facility Type
Physician Office
Certificate Effective Date
September 27, 2024
Certificate Expiration Date
September 26, 2026
Laboratory Director
DR. DINESH K. VERMA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to 210 Mjd Medical, Pllc 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 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 1750712220, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
0
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 5 → 10 → 1 7 → 14 → 5 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 4 + 1 + 4 + 2 + 4 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1750712220.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
228 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Nurse Practitioner (Family)
228 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Clinic/Center (Urgent Care)
228 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750712220, enumerated as an "organization" on December 09, 2013.

The provider is located at 228 BEACH 20TH ST FAR ROCKAWAY, NY 11691 and the phone number is (917) 847-4980.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.