STATEN ISLAN UNIVERSITY HOSPITAL
NPI 1841569282
Clinic/Center - Methadone in Brooklyn, NY

NPI Status: Active since December 14, 2011

Contact Information

567 E 105TH ST
BROOKLYN, NY
ZIP 11236
Phone: (718) 307-3000
Fax: (718) 307-3020

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  • Organization
  • Clinic/Center
  • Methadone

About STATEN ISLAN UNIVERSITY HOSPITAL

This page provides the complete NPI Profile along with additional information for Staten Islan University Hospital, a provider established in Brooklyn, New York operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1841569282 assigned on December 2011. The practitioner's primary taxonomy code is 261QM2800X. 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 Wilfredo Gonzalez Cacac (Manager)

NPI
1841569282
Provider Name
STATEN ISLAN UNIVERSITY HOSPITAL
Entity Type
Organization
Location Address
567 E 105TH ST BROOKLYN, NY 11236
Location Phone
(718) 307-3000
Location Fax
(718) 307-3020
Mailing Address
567 E 105TH ST BROOKLYN, NY 11236
Mailing Phone
(718) 307-3000
Mailing Fax
(718) 307-3020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2011
Last Update Date
12-14-2011
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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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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

WILFREDO GONZALEZ CACAC

Authorized Official Title
MANAGER
Authorized Official Phone
(718) 307-3000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1841569282
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
288110618216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 1 + 0 + 6 + 1 + 8 + 2 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1841569282 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

CHERYL ROVENDRO RN

Registered Nurse

(Addiction (Substance Use Disorder))

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3010

ELIZABETH J WIGGINS RN

Registered Nurse

(Addiction (Substance Use Disorder))

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3009

MS. DANIELLE KRIZNI CASAC

Counselor

(Addiction (Substance Use Disorder))

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3000

MRS. DAWN WATTS CASAC

Counselor

(Addiction (Substance Use Disorder))

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3000

MR. KEVIN JULIEN CASAC

Counselor

(Addiction (Substance Use Disorder))

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3017

STATEN ISLAND UNIVERSITY HOSPITAL

Clinic/Center

(Methadone)

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3000

TAMISHA DESOUSA R.N.

Registered Nurse

(Addiction (Substance Use Disorder))

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3011

MR. ROBERT STANLEY BURCH CASAC

Counselor

(Addiction (Substance Use Disorder))

567 E 105TH ST
CANARSIE MULTI SERVICE CENTER
BROOKLYN, NY
ZIP 11236

(718) 307-3018

MS. ROSEMARY GIORDANO RN

Registered Nurse

(Addiction (Substance Use Disorder))

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3009

MR. LARRY BUTLER CASAC

Counselor

(Addiction (Substance Use Disorder))

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3103

DR. IVICA DUMONT MA

Counselor

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3000

PATRICIA COLLAZOS

Counselor

(Addiction (Substance Use Disorder))

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 307-3000

MRS. CASSANDRA BROWN NURSE PRACTITIONER

Nurse Practitioner

(Family)

567 E 105TH ST
BROOKLYN, NY
ZIP 11236

(718) 226-4930

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841569282, enumerated as an "organization" on December 14, 2011.

The provider is located at 567 E 105TH ST BROOKLYN, NY 11236 and the phone number is (718) 307-3000.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.