MOUNT SINAI MARATHON MEDICAL - CARDIOVASCULAR
NPI 1942777347
Internal Medicine - Cardiovascular Disease in Valley Stream, NY

NPI Status: Active since October 24, 2018

Contact Information

10 E MERRICK RD STE 207
VALLEY STREAM, NY
ZIP 11580
Phone: (516) 256-2017

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 33D0861233
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About MOUNT SINAI MARATHON MEDICAL - CARDIOVASCULAR

This page provides the complete NPI Profile along with additional information for Mount Sinai Marathon Medical - Cardiovascular, an internist established in Valley Stream, New York operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1942777347 assigned on October 2018. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Mount Sinai Marathon Medical - Cardiovascular operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Mount Sinai Marathon Medical - Cardiovascular. The authorized official of this NPI record is Alicia Gresham (Vp Network Operations)

NPI
1942777347
Provider Legal Name
MOUNT SINAI SCHOOL OF MEDICINE
Other Organization Name
MOUNT SINAI MARATHON MEDICAL - CARDIOVASCULAR
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
10 E MERRICK RD STE 207 VALLEY STREAM, NY 11580
Location Phone
(516) 256-2017
Mailing Address
1 HEALTHY WAY OCEANSIDE, NY 11572
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2018
Last Update Date
01-11-2019
Code Navigator

An internist like Mount Sinai Marathon Medical - Cardiovascular 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

  • 2750 Merrick Rd
    Bellmore, NY 11710
    (516) 409-2000
  • 1420 Broadway
    Hewlett, NY 11557
    (516) 764-5455
  • 1200 W Broadway Unit 5
    Hewlett, NY 11557
    (516) 887-7000
  • 325 W Park Ave
    Long Beach, NY 11561
    (516) 432-2004
  • 33 N Ocean Ave
    Freeport, NY 11520
    (516) 378-4949
  • 440 Merrick Rd
    Oceanside, NY 11572
    (516) 255-8220
  • 1 Healthy Way
    Oceanside, NY 11572
    (516) 632-3670

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 Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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)
1207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 
2207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 
32086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
4363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

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

ALICIA GRESHAM

Authorized Official Title
VP NETWORK OPERATIONS
Authorized Official Phone
(212) 659-9038

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
33D0861233
Facility Type
Physician Office
Certificate Effective Date
July 06, 2018
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. HARAN N. RATNA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mount Sinai Marathon Medical - Cardiovascular 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 1942777347, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 4 → 8 7 → 14 → 5 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 + 9 + 8 + 2 + 1 + 4 + 7 + 1 + 4 + 3 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1942777347.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942777347, enumerated as an "organization" on October 24, 2018.

The provider is located at 10 E MERRICK RD STE 207 VALLEY STREAM, NY 11580 and the phone number is (516) 256-2017.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.