STATION CARE NP IN ADULT HEALTH PC
NPI 1801605761
Nurse Practitioner - Adult Health in Brentwood, NY
NPI Status: Active since January 06, 2025
Contact Information
55 2ND AVE UNIT 2
BRENTWOOD, NY
ZIP 11717
Phone: (631) 983-3237
Fax: (631) 961-8775
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Nurse Practitioner
- Adult Health
- CLIA Number: 33D2338776
- CLIA Cert. Type: Other - MEDICAL OFFICE NP OWNED
- CLIA Exp. Date: 02-17-2028
About STATION CARE NP IN ADULT HEALTH PC
This page provides the complete NPI Profile along with additional information for Station Care Np In Adult Health Pc, a provider established in Brentwood, New York operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1801605761 assigned on January 2025. The practitioner's primary taxonomy code is 363LA2200X. The provider is registered as an organization and their NPI record was last updated June 2026. Station Care Np In Adult Health 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 Mubushar Ikram Raza Agnp (Owner/ Agnp)
- NPI
- 1801605761
- Provider Name
- STATION CARE NP IN ADULT HEALTH PC
- Entity Type
- Organization
- Location Address
- 55 2ND AVE UNIT 2 BRENTWOOD, NY 11717
- Location Phone
- (631) 983-3237
- Location Fax
- (631) 961-8775
- Mailing Address
- 55 2ND AVE UNIT 2 BRENTWOOD, NY 11717
- Mailing Phone
- (631) 983-3237
- Mailing Fax
- (631) 961-8775
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-06-2025
- Last Update Date
- 06-29-2026
- Code Navigator
A nurse practitioner (NP) like Station Care Np In Adult Health Pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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.
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
- 33D2338776
- Facility Type
- Other - MEDICAL OFFICE NP OWNED
- Certificate Effective Date
- February 18, 2026
- Certificate Expiration Date
- February 17, 2028
- Laboratory Director
- MUBUSHAR I. RAZA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Station Care Np In Adult Health 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 1801605761, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801605761, enumerated as an "organization" on January 06, 2025.
The provider is located at 55 2ND AVE UNIT 2 BRENTWOOD, NY 11717 and the phone number is (631) 983-3237.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
