PATINA MEDICAL GROUP, PC
NPI 1801568910
Clinic/Center - Primary Care in Bala Cynwyd, PA

NPI Status: Active since September 28, 2021

Contact Information

150 MONUMENT RD
BALA CYNWYD, PA
ZIP 19004
Phone: (949) 246-3344

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 39D2263380
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 06-27-2026

About PATINA MEDICAL GROUP, PC

This page provides the complete NPI Profile along with additional information for Patina Medical Group, Pc, a primary care provider established in Bala Cynwyd, Pennsylvania operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1801568910 assigned on September 2021. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Patina Medical Group, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Alexandra Marie Ristow Md (Lead Primary Care Physician)

NPI
1801568910
Provider Name
PATINA MEDICAL GROUP, PC
Entity Type
Organization
Location Address
150 MONUMENT RD BALA CYNWYD, PA 19004
Location Phone
(949) 246-3344
Mailing Address
150 MONUMENT RD BALA CYNWYD, PA 19004
Mailing Phone
(855) 478-8208
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2021
Last Update Date
08-02-2022
Code Navigator

A primary care provider (PCP) like Patina Medical Group, Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

ALEXANDRA MARIE RISTOW MD

Authorized Official Title
LEAD PRIMARY CARE PHYSICIAN
Authorized Official Phone
(573) 999-7137

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
39D2263380
Facility Type
Practitioner Other
Certificate Effective Date
June 28, 2024
Certificate Expiration Date
June 27, 2026
Laboratory Director
DR. ALEXANDRA M. RISTOW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Patina Medical Group, Pc 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 1801568910, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
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 0 → 0 5 → 10 → 1 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 1 + 0 + 6 + 1 + 6 + 9 + 2 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1801568910.

Other Providers at the Same Location


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

Home Health
150 MONUMENT RD, SUITE 400
BALA CYNWYD, PA 19004
Psychologist (Clinical)
150 MONUMENT RD, SUITE 107
BALA CYNWYD, PA 19004
Home Health
150 MONUMENT RD
BALA CYNWYD, PA 19004
Physical Therapist
150 MONUMENT RD, SUITE 300
BALA CYNWYD, PA 19004
Family Medicine
150 MONUMENT RD, SUITE 207-0039
BALA CYNWYD, PA 19004
Physical Medicine & Rehabilitation
150 MONUMENT RD, STE 207
BALA CYNWYD, PA 19004
Behavior Analyst
150 MONUMENT RD, SUITE 207
BALA CYNWYD, PA 19004
Behavior Analyst
150 MONUMENT RD, SUITE 207
BALA CYNWYD, PA 19004
Pharmacist
150 MONUMENT RD, SUITE 207
BALA CYNWYD, PA 19004
Dietitian, Registered
150 MONUMENT RD, STE 207
BALA CYNWYD, PA 19004
Dietitian, Registered
150 MONUMENT RD, STE 207
BALA CYNWYD, PA 19004
Dietitian, Registered
150 MONUMENT RD, STE 207
BALA CYNWYD, PA 19004
Dietitian, Registered
150 MONUMENT RD, STE 207
BALA CYNWYD, PA 19004
Home Health
150 MONUMENT RD, SUITE 207
BALA CYNWYD, PA 19004
Home Health
150 MONUMENT RD, SUITE 207
BALA CYNWYD, PA 19004
Dietitian, Registered
150 MONUMENT RD, STE 207
BALA CYNWYD, PA 19004
Dietitian, Registered
150 MONUMENT RD, STE 207
BALA CYNWYD, PA 19004
Dietitian, Registered (Nutrition, Metabolic)
150 MONUMENT RD, SUITE 207
BALA CYNWYD, PA 19004
Pharmacist
150 MONUMENT RD, SUITE 601D
BALA CYNWYD, PA 19004
Dietitian, Registered
150 MONUMENT RD, STE 207
BALA CYNWYD, PA 19004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801568910, enumerated as an "organization" on September 28, 2021.

The provider is located at 150 MONUMENT RD BALA CYNWYD, PA 19004 and the phone number is (949) 246-3344.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.