FITNESS & RECOVERY, LLC
NPI 1801064167
Emergency Medicine - Sports Medicine in Tuckahoe, NY
NPI Status: Active since February 20, 2008
Contact Information
150 LAKE AVE
TUCKAHOE, NY
ZIP 10707
Phone: (914) 395-3691
Fax: (914) 395-3693
- Organization
- Emergency Medicine
- Sports Medicine
- CLIA Number: 33D2057220
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-20-2027
About FITNESS & RECOVERY, LLC
This page provides the complete NPI Profile along with additional information for Fitness & Recovery, Llc, a provider established in Tuckahoe, New York operating as a Emergency Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1801064167 assigned on February 2008. The practitioner's primary taxonomy code is 207PS0010X with license number 203477 (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 Dr. Mack Lee Sullivan M.d. (President)
- NPI
- 1801064167
- Provider Name
- FITNESS & RECOVERY, LLC
- Entity Type
- Organization
- Location Address
- 150 LAKE AVE TUCKAHOE, NY 10707
- Location Phone
- (914) 395-3691
- Location Fax
- (914) 395-3693
- Mailing Address
- 150 LAKE AVE TUCKAHOE, NY 10707
- Mailing Phone
- (914) 395-3691
- Mailing Fax
- (914) 395-3693
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2008
- Last Update Date
- 09-04-2008
- Code Navigator
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
Emergency Medicine Sports Medicine
- Taxonomy Code
- 207PS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 203477
- License State
- NY
- Taxonomy Description
- An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Group Taxonomy 193400000X MULTIPLE 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.
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
- 33D2057220
- Facility Type
- Physician Office
- Certificate Effective Date
- May 21, 2025
- Certificate Expiration Date
- May 20, 2027
- Laboratory Director
- DR. MACK L. SULLIVAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fitness & Recovery, Llc 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 1801064167, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801064167, enumerated as an "organization" on February 20, 2008.
The provider is located at 150 LAKE AVE TUCKAHOE, NY 10707 and the phone number is (914) 395-3691.
Emergency Medicine with taxonomy code 207PS0010X and a focus in Sports Medicine.
