MEDICAL ASSOCIATE OF WALL STREET, P.C.
NPI 1912272592
Clinic/Center - Multi-Specialty in New York, NY
NPI Status: Active since March 15, 2012
Contact Information
6 MAIDEN LN RM 500
NEW YORK, NY
ZIP 10038
Phone: (212) 233-3040
Fax: (212) 349-7529
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 33D2086224
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About MEDICAL ASSOCIATE OF WALL STREET, P.C.
This page provides the complete NPI Profile along with additional information for Medical Associate Of Wall Street, P.c., a provider established in New York, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1912272592 assigned on March 2012. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Medical Associate Of Wall Street, P.c. 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 Dr. Glenn Gandelman M.d. (Chief Executive Officer)
- NPI
- 1912272592
- Provider Name
- MEDICAL ASSOCIATE OF WALL STREET, P.C.
- Entity Type
- Organization
- Location Address
- 6 MAIDEN LN RM 500 NEW YORK, NY 10038
- Location Phone
- (212) 233-3040
- Location Fax
- (212) 349-7529
- Mailing Address
- 81 HOLLY HILL LN FL 3 GREENWICH, CT 06830
- Mailing Phone
- (203) 869-8515
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-15-2012
- Last Update Date
- 09-20-2022
- Code Navigator
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine |
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
- 33D2086224
- Facility Type
- Physician Office
- Certificate Effective Date
- October 29, 2014
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. GLENN GANDELMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical Associate Of Wall Street, P.c. 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.
Reviews for MEDICAL ASSOCIATE OF WALL STREET, P.C.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1912272592, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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.
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 68 is 70. 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.
NEW YORK, NY 10038
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912272592, enumerated as an "organization" on March 15, 2012.
The provider is located at 6 MAIDEN LN RM 500 NEW YORK, NY 10038 and the phone number is (212) 233-3040.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
