PECONIC BAY MEDICAL CENTER
NPI 1760769624
General Acute Care Hospital - Rural in Riverhead, NY

NPI Status: Active since November 07, 2011

Contact Information

1300 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901
Phone: (631) 548-6446

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  • Organization
  • General Acute Care Hospital
  • Rural
  • CLIA Number: 33D0008773
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-26-2027

About PECONIC BAY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Peconic Bay Medical Center, a provider established in Riverhead, New York operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1760769624 assigned on November 2011. The practitioner's primary taxonomy code is 282NR1301X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. George Ruggiero Do (Dme)

NPI
1760769624
Provider Name
PECONIC BAY MEDICAL CENTER
Entity Type
Organization
Location Address
1300 ROANOKE AVE RIVERHEAD, NY 11901
Location Phone
(631) 548-6446
Mailing Address
1300 ROANOKE AVE RIVERHEAD, NY 11901
Mailing Phone
(631) 548-6446
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2011
Last Update Date
11-07-2011
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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

General Acute Care Hospital Rural

Taxonomy Code
282NR1301X
Type
Hospitals

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. GEORGE RUGGIERO DO

Authorized Official Title
DME
Authorized Official Phone
(631) 548-6446

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
33D0008773
Facility Type
Hospital
Certificate Effective Date
August 28, 1995
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. SANDRA J. SHIN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Peconic Bay Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1760769624, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
4
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 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9 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 + 2 + 0 + 1 + 4 + 6 + 1 + 8 + 6 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760769624.

Other Providers at the Same Location


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

Physician Assistant (Medical)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Physician Assistant (Surgical)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Pathology (Anatomic Pathology & Clinical Pathology)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Dietitian, Registered
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Family)
1300 ROANOKE AVE, C/O PECONIC BAY MEDICAL CENTER
RIVERHEAD, NY 11901
Specialist
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Anesthesiology
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Anesthesiology
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Physician Assistant (Medical)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Internal Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Physician Assistant
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
1300 ROANOKE AVE
RIVERHEAD, NY 11901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760769624, enumerated as an "organization" on November 07, 2011.

The provider is located at 1300 ROANOKE AVE RIVERHEAD, NY 11901 and the phone number is (631) 548-6446.

General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.