BROOME SURGERY & BREAST CARE, P.C.
NPI 1790960839
Specialist in Johnson City, NY

NPI Status: Active since January 08, 2008

Contact Information

240 RIVERSIDE DR
SUITE 3
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 729-0443
Fax: (607) 766-9395

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  • Organization
  • Specialist

About BROOME SURGERY & BREAST CARE, P.C.

This page provides the complete NPI Profile along with additional information for Broome Surgery & Breast Care, P.c., a provider established in Johnson City, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1790960839 assigned on January 2008. The practitioner's primary taxonomy code is 174400000X with license number 0154223 (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ghassem Mangouri M.d. (President)

NPI
1790960839
Provider Name
BROOME SURGERY & BREAST CARE, P.C.
Entity Type
Organization
Location Address
240 RIVERSIDE DR SUITE 3 JOHNSON CITY, NY 13790
Location Phone
(607) 729-0443
Location Fax
(607) 766-9395
Mailing Address
240 RIVERSIDE DR SUITE 3 JOHNSON CITY, NY 13790
Mailing Phone
(607) 729-0443
Mailing Fax
(607) 766-9395
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2008
Last Update Date
02-07-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
0154223
License State
NY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

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

GHASSEM MANGOURI M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(607) 729-0443

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
B83244MEDICARE UPIN (02)NY 
00775599MEDICAID (05)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 1790960839, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 9 → 18 → 9 9 → 18 → 9 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 8 + 6 + 0 + 8 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1790960839.

Other Providers at the Same Location


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

Psychologist (Clinical)
240 RIVERSIDE DR, SUITE 2
JOHNSON CITY, NY 13790
Dermatology
240 RIVERSIDE DR, SUITE 10
JOHNSON CITY, NY 13790
Physical Therapist
240 RIVERSIDE DR, SUITE 4
JOHNSON CITY, NY 13790
Specialist
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Family Medicine
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Physician Assistant
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Optometrist
240 RIVERSIDE DR, SUITE ONE
JOHNSON CITY, NY 13790
Durable Medical Equipment & Medical Supplies
240 RIVERSIDE DR, SUITE ONE
JOHNSON CITY, NY 13790
Physician Assistant
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Orthopaedic Surgery
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Physician Assistant
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Orthopaedic Surgery (Sports Medicine)
240 RIVERSIDE DR, TIER ORTHOPAEDICS ASSOCIATES
JOHNSON CITY, NY 13790
Nurse Practitioner (Family)
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Physician Assistant
240 RIVERSIDE DR
JOHNSON CITY, NY 13790
Specialist/Technologist (Athletic Trainer)
240 RIVERSIDE DR
JOHNSON CITY, NY 13790

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790960839, enumerated as an "organization" on January 08, 2008.

The provider is located at 240 RIVERSIDE DR SUITE 3 JOHNSON CITY, NY 13790 and the phone number is (607) 729-0443.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.