9317 MEDICAL OFFICE PC
NPI 1871707372
Internal Medicine in Jackson Heights, NY

NPI Status: Active since May 10, 2007

Contact Information

9317 ROOSEVELT AVE
JACKSON HEIGHTS, NY
ZIP 11372
Phone: (718) 446-0270
Fax: (718) 446-5939

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  • Organization
  • Internal Medicine
  • CLIA Number: 33D0973890
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-22-2028

About 9317 MEDICAL OFFICE PC

This page provides the complete NPI Profile along with additional information for 9317 Medical Office Pc, an internist established in Jackson Heights, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1871707372 assigned on May 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. 9317 Medical Office 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 Sandra J Marrero (Office Manager)

NPI
1871707372
Provider Name
9317 MEDICAL OFFICE PC
Entity Type
Organization
Location Address
9317 ROOSEVELT AVE JACKSON HEIGHTS, NY 11372
Location Phone
(718) 446-0270
Location Fax
(718) 446-5939
Mailing Address
9317 ROOSEVELT AVE JACKSON HEIGHTS, NY 11372
Mailing Phone
(718) 446-0270
Mailing Fax
(718) 446-5939
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2007
Last Update Date
06-21-2024
Code Navigator

An internist like 9317 Medical Office Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 2645 SW 37th Ave Ste 701
    Miami, FL 33133
    (718) 489-9527

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

SANDRA J MARRERO

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(718) 446-0270

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01748636MEDICAID (05)NY 
121841700MEDICAID (05)FL 

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
33D0973890
Facility Type
Physician Office
Certificate Effective Date
May 23, 2026
Certificate Expiration Date
May 22, 2028
Laboratory Director
DR. ALAIN A. SOSA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to 9317 Medical Office 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 1871707372, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5 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 + 1 + 4 + 1 + 1 + 4 + 0 + 1 + 4 + 3 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1871707372.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Primary Care)
9317 ROOSEVELT AVE, 2ND FLOOR
JACKSON HEIGHTS, NY 11372
Internal Medicine
9317 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Internal Medicine
9317 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871707372, enumerated as an "organization" on May 10, 2007.

The provider is located at 9317 ROOSEVELT AVE JACKSON HEIGHTS, NY 11372 and the phone number is (718) 446-0270.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.