VITASTAT MEDICAL PLLC
NPI 1811232770
Clinic/Center - Medical Specialty in Astoria, NY

NPI Status: Active since December 04, 2012

Contact Information

2322 BROADWAY
ASTORIA, NY
ZIP 11106
Phone: (917) 300-8296
Fax: (917) 300-8296

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 33D2061692
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-08-2027

About VITASTAT MEDICAL PLLC

This page provides the complete NPI Profile along with additional information for Vitastat Medical Pllc, a provider established in Astoria, New York operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1811232770 assigned on December 2012. The practitioner's primary taxonomy code is 261QM2500X with license number 254736 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Ken Truong M.d. (Manager)

NPI
1811232770
Provider Name
VITASTAT MEDICAL PLLC
Entity Type
Organization
Location Address
2322 BROADWAY ASTORIA, NY 11106
Location Phone
(917) 300-8296
Location Fax
(917) 300-8296
Mailing Address
8738 20TH AVE BROOKLYN, NY 11214
Mailing Phone
(917) 300-8296
Mailing Fax
(917) 300-8296
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2012
Last Update Date
12-04-2012
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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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
254736
License State
NY
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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. KEN TRUONG M.D.

Authorized Official Title
MANAGER
Authorized Official Phone
(917) 300-8296

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
33D2061692
Facility Type
Physician Office
Certificate Effective Date
July 09, 2025
Certificate Expiration Date
July 08, 2027
Laboratory Director
DR. KEN TRUONG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vitastat Medical Pllc 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 1811232770, 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
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 1 → 2 2 → 4 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 4 + 3 + 4 + 7 + 1 + 4 + 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 1811232770.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine
2322 BROADWAY
ASTORIA, NY 11106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811232770, enumerated as an "organization" on December 04, 2012.

The provider is located at 2322 BROADWAY ASTORIA, NY 11106 and the phone number is (917) 300-8296.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.