FOR CDPHP USE ONLY
NPI 1922482264
Family Medicine in Ballston Lake, NY

NPI Status: Active since July 16, 2015

Contact Information

112 CHARLTON RD
CDPHP SITE
BALLSTON LAKE, NY
ZIP 12019
Phone: (518) 399-7723
Fax: (518) 399-6428

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  • Organization
  • Family Medicine
  • CLIA Number: 33D0863145
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About FOR CDPHP USE ONLY

This page provides the complete NPI Profile along with additional information for For Cdphp Use Only, a primary care provider established in Ballston Lake, New York operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1922482264 assigned on July 2015. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is For Cdphp Use Only. The authorized official of this NPI record is Gary Foster (Vp/cfo)

NPI
1922482264
Provider Legal Name
SARATOGA HOSPITAL
Other Organization Name
FOR CDPHP USE ONLY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
112 CHARLTON RD CDPHP SITE BALLSTON LAKE, NY 12019
Location Phone
(518) 399-7723
Location Fax
(518) 399-6428
Mailing Address
PO BOX 1220 ALBANY, NY 12201
Mailing Phone
(518) 348-1276
Mailing Fax
(518) 399-6428
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-16-2015
Last Update Date
07-16-2015
Code Navigator

A primary care provider (PCP) like For Cdphp Use Only sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

GARY FOSTER

Authorized Official Title
VP/CFO
Authorized Official Phone
(518) 583-8421

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
33D0863145
Facility Type
Physician Office
Certificate Effective Date
December 19, 2012
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. KARIN E. BORRELLI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to For Cdphp Use Only in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1922482264, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 2 → 4 4 → 8 2 → 4 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 + 4 + 2 + 8 + 8 + 4 + 2 + 1 + 2 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1922482264.

Other Providers at the Same Location


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

General Practice
112 CHARLTON RD
BALLSTON LAKE, NY 12019
General Practice
112 CHARLTON RD
BALLSTON LAKE, NY 12019
Family Medicine
112 CHARLTON RD
BALLSTON LAKE, NY 12019
General Practice
112 CHARLTON RD
BALLSTON LAKE, NY 12019
Physician Assistant
112 CHARLTON RD
BALLSTON LAKE, NY 12019
General Practice
112 CHARLTON RD
BALLSTON LAKE, NY 12019
Nurse Practitioner (Family)
112 CHARLTON RD
BALLSTON LAKE, NY 12019
Family Medicine
112 CHARLTON RD
BALLSTON LAKE, NY 12019
Family Medicine
112 CHARLTON RD
BALLSTON LAKE, NY 12019
Family Medicine
112 CHARLTON RD
BALLSTON LAKE, NY 12019
Family Medicine
112 CHARLTON RD
BALLSTON LAKE, NY 12019
Nurse Practitioner (Family)
112 CHARLTON RD
BALLSTON LAKE, NY 12019
Family Medicine
112 CHARLTON RD
BALLSTON LAKE, NY 12019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922482264, enumerated as an "organization" on July 16, 2015.

The provider is located at 112 CHARLTON RD CDPHP SITE BALLSTON LAKE, NY 12019 and the phone number is (518) 399-7723.

Family Medicine with taxonomy code 207Q00000X.