BACK AND NECK PAIN CENTER
NPI 1922486182
Physical Medicine & Rehabilitation - Pain Medicine in Port Jefferson, NY

NPI Status: Active since May 08, 2015

Contact Information

75 N COUNTRY RD
PORT JEFFERSON, NY
ZIP 11777
Phone: (631) 473-1320
Fax: (631) 686-7972

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • CLIA Number: 33D0158831
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-26-2027

About BACK AND NECK PAIN CENTER

This page provides the complete NPI Profile along with additional information for Back And Neck Pain Center, a provider established in Port Jefferson, New York operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1922486182 assigned on May 2015. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Back And Neck Pain Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Back And Neck Pain Center. The authorized official of this NPI record is Mrs. Sharon Donnelly (Project Director)

NPI
1922486182
Provider Legal Name
JOHN T MATHER MEMORIAL HOSPITAL
Other Organization Name
BACK AND NECK PAIN CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
75 N COUNTRY RD PORT JEFFERSON, NY 11777
Location Phone
(631) 473-1320
Location Fax
(631) 686-7972
Mailing Address
75 N COUNTRY RD PORT JEFFERSON, NY 11777
Mailing Phone
(631) 473-1320
Mailing Fax
(631) 686-7972
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2015
Last Update Date
05-08-2015
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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

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

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.

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

MRS. SHARON DONNELLY

Authorized Official Title
PROJECT DIRECTOR
Authorized Official Phone
(631) 473-1320

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
33D0158831
Facility Type
Hospital
Certificate Effective Date
August 28, 1995
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. DANIEL L. PERRAULT
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Back And Neck Pain Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1922486182, 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.

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
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 2 → 4 4 → 8 6 → 12 → 3 8 → 16 → 7

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 + 1 + 2 + 1 + 1 + 6 + 24 = 68

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.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1922486182.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Internal Medicine (Geriatric Medicine)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Radiology (Diagnostic Radiology)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Emergency Medicine (Emergency Medical Services)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Hospitalist
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Adult Health)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Emergency Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Hospitalist
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
General Acute Care Hospital
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Surgery
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Adult Health)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Adult Health)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Pharmacist
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Neuromusculoskeletal Medicine & OMM
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Radiology (Diagnostic Radiology)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Adult Health)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922486182, enumerated as an "organization" on May 08, 2015.

The provider is located at 75 N COUNTRY RD PORT JEFFERSON, NY 11777 and the phone number is (631) 473-1320.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.