MVP MEDICAL PRACTICE PC
NPI 1912541061
Internal Medicine - Infectious Disease in Brooklyn, NY

NPI Status: Active since November 01, 2019

Contact Information

475 ATLANTIC AVE STE 2
BROOKLYN, NY
ZIP 11217
Phone: (718) 369-4850
Fax: (718) 369-4851

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  • Organization
  • Internal Medicine
  • Infectious Disease
  • CLIA Number: 33D2063017
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About MVP MEDICAL PRACTICE PC

This page provides the complete NPI Profile along with additional information for Mvp Medical Practice Pc, an internist established in Brooklyn, New York operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1912541061 assigned on November 2019. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Lyle Honig Mojica (Cfo)

NPI
1912541061
Provider Name
MVP MEDICAL PRACTICE PC
Entity Type
Organization
Location Address
475 ATLANTIC AVE STE 2 BROOKLYN, NY 11217
Location Phone
(718) 369-4850
Location Fax
(718) 369-4851
Mailing Address
6255 W SUNSET BLVD FL 21 LOS ANGELES, CA 90028
Mailing Phone
(323) 498-6686
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2019
Last Update Date
06-09-2026
Code Navigator

An internist like Mvp Medical Practice 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

  • 16121 Jamaica Ave # 7
    Jamaica, NY 11432
    (929) 421-4630
  • 921A E New York Ave
    Brooklyn, NY 11203
    (718) 369-4850
  • 315 W 50th St Fl 1
    New York, NY 10019
    (212) 582-5006
  • 9130 Van Wyck Expy
    Jamaica, NY 11418
    (929) 421-4630
  • 1600 Central Ave Ste 304
    Far Rockaway, NY 11691
    (929) 421-4630
  • 655 Morris Ave # 2
    Bronx, NY 10451
    (347) 736-9046
  • 352 7th Ave Rm 1205
    New York, NY 10001
    (212) 627-7560
  • 365 W 28th St # A
    New York, NY 10001
    (212) 741-3030

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 Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

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

LYLE HONIG MOJICA

Authorized Official Title
CFO
Authorized Official Phone
(323) 860-5305

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
33D2063017
Facility Type
Physician Office
Certificate Effective Date
June 30, 2015
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MARCELO J. VENEGAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mvp Medical Practice 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 1912541061, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 5 → 10 → 1 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 1 + 0 + 4 + 2 + 0 + 1 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1912541061.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine
475 ATLANTIC AVE STE 2
BROOKLYN, NY 11217
Internal Medicine (Infectious Disease)
475 ATLANTIC AVE STE 2
BROOKLYN, NY 11217
Nurse Practitioner
475 ATLANTIC AVE STE 2
BROOKLYN, NY 11217
Nurse Practitioner (Family)
475 ATLANTIC AVE STE 2
BROOKLYN, NY 11217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912541061, enumerated as an "organization" on November 01, 2019.

The provider is located at 475 ATLANTIC AVE STE 2 BROOKLYN, NY 11217 and the phone number is (718) 369-4850.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.