INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
NPI 1770880403
Clinic/Center - Pain in Rego Park, NY

NPI Status: Active since February 15, 2011

Contact Information

9701 66TH AVE
REGO PARK, NY
ZIP 11374
Phone: (718) 275-5200

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  • Organization
  • Clinic/Center
  • Pain

About INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC

This page provides the complete NPI Profile along with additional information for Innovative Rehabilitation Consultant Medical Pc, a provider established in Rego Park, New York operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1770880403 assigned on February 2011. The practitioner's primary taxonomy code is 261QP3300X with license number 241269 (NY). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Dmitriy Fuzaylov Md (Ownder)

NPI
1770880403
Provider Name
INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
Entity Type
Organization
Location Address
9701 66TH AVE REGO PARK, NY 11374
Location Phone
(718) 275-5200
Mailing Address
21429 JAMAICA AVE QUEENS VILLAGE, NY 11428
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2011
Last Update Date
07-09-2021
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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 Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities
License No.
241269
License State
NY

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. DMITRIY FUZAYLOV MD

Authorized Official Title
OWNDER
Authorized Official Phone
(646) 784-3984

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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 1770880403, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 7 → 14 → 5 8 → 16 → 7 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 1 + 6 + 8 + 0 + 4 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1770880403.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
9701 66TH AVE
REGO PARK, NY 11374
Physical Medicine & Rehabilitation
9701 66TH AVE
REGO PARK, NY 11374
Internal Medicine
9701 66TH AVE
REGO PARK, NY 11374
Psychiatry & Neurology (Psychiatry)
9701 66TH AVE
REGO PARK, NY 11374
Anesthesiology (Pain Medicine)
9701 66TH AVE
REGO PARK, NY 11374
Occupational Therapist
9701 66TH AVE
REGO PARK, NY 11374
Counselor
9701 66TH AVE
REGO PARK, NY 11374
Counselor (Mental Health)
9701 66TH AVE
REGO PARK, NY 11374
Physician Assistant (Surgical)
9701 66TH AVE
REGO PARK, NY 11374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770880403, enumerated as an "organization" on February 15, 2011.

The provider is located at 9701 66TH AVE REGO PARK, NY 11374 and the phone number is (718) 275-5200.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.