ASSOCIATED MEDICAL GROUP, PC
NPI 1891937546
Internal Medicine - Nephrology in New York, NY

NPI Status: Active since March 27, 2009

Contact Information

37 NAGLE AVE APT 1D
NEW YORK, NY
ZIP 10040
Phone: (212) 942-0808
Fax: (212) 942-1553

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  • Organization
  • Internal Medicine
  • Nephrology
  • CLIA Number: 33D0983553
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-25-2027

About ASSOCIATED MEDICAL GROUP, PC

This page provides the complete NPI Profile along with additional information for Associated Medical Group, Pc, an internist established in New York, New York operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1891937546 assigned on March 2009. The practitioner's primary taxonomy code is 207RN0300X with license number 163674 (NY). The provider is registered as an organization and their NPI record was last updated 8 years ago. Associated Medical Group, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Associated Medical Group, Pc. The authorized official of this NPI record is Dr. Bienvenido Fajardo Md (Medical Director)

NPI
1891937546
Provider Legal Name
BIENVENIDO FAJARDO, M.D.P.C.
Other Organization Name
ASSOCIATED MEDICAL GROUP, PC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
37 NAGLE AVE APT 1D NEW YORK, NY 10040
Location Phone
(212) 942-0808
Location Fax
(212) 942-1553
Mailing Address
37 NAGLE AVE APT 1D NEW YORK, NY 10040
Mailing Phone
(212) 942-0808
Mailing Fax
(212) 942-1553
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2009
Last Update Date
08-23-2018
Code Navigator

An internist like Associated Medical Group, 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

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 Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
163674
License State
NY
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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

DR. BIENVENIDO FAJARDO MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(212) 942-0808

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
01016260MEDICAID (05)NY 

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
33D0983553
Facility Type
Physician Office
Certificate Effective Date
February 26, 2025
Certificate Expiration Date
February 25, 2027
Laboratory Director
DR. BIENVENIDO FAJARDO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Associated 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 1891937546, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 8 + 1 + 1 + 8 + 3 + 1 + 4 + 5 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1891937546.

Other Providers at the Same Location


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

Internal Medicine
37 NAGLE AVE APT 1D
NEW YORK, NY 10040
Internal Medicine
37 NAGLE AVE APT 1D
NEW YORK, NY 10040
Nurse Practitioner (Family)
37 NAGLE AVE APT 1D
NEW YORK, NY 10040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891937546, enumerated as an "organization" on March 27, 2009.

The provider is located at 37 NAGLE AVE APT 1D NEW YORK, NY 10040 and the phone number is (212) 942-0808.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

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