PEDIATRIC WELLNESS OF NORTHERN NEW YORK
NPI 1982389854
Pediatrics in Watertown, NY

NPI Status: Active since June 19, 2023

Contact Information

1571 WASHINGTON ST
SUITE 107
WATERTOWN, NY
ZIP 13601
Phone: (315) 782-7330
Fax: (315) 782-5773

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  • Organization
  • Pediatrics
  • CLIA Number: 33D0672849
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-21-2027

About PEDIATRIC WELLNESS OF NORTHERN NEW YORK

This page provides the complete NPI Profile along with additional information for Pediatric Wellness Of Northern New York, a pediatrician established in Watertown, New York operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1982389854 assigned on June 2023. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 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 authorized official of this NPI record is Myla D Estepa Md (Owner)

NPI
1982389854
Provider Name
PEDIATRIC WELLNESS OF NORTHERN NEW YORK
Entity Type
Organization
Location Address
1571 WASHINGTON ST SUITE 107 WATERTOWN, NY 13601
Location Phone
(315) 782-7330
Location Fax
(315) 782-5773
Mailing Address
1571 WASHINGTON ST SUITE 107 WATERTOWN, NY 13601
Mailing Phone
(315) 782-7330
Mailing Fax
(315) 782-5773
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2023
Last Update Date
03-14-2024
Code Navigator

A pediatrician like Pediatric Wellness Of Northern New York is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

MYLA D ESTEPA MD

Authorized Official Title
OWNER
Authorized Official Phone
(315) 782-7330

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
33D0672849
Facility Type
Physician Office
Certificate Effective Date
May 22, 2025
Certificate Expiration Date
May 21, 2027
Laboratory Director
DR. MYLA D. ESTEPA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric Wellness Of Northern New York 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 1982389854, 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 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
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 8 → 16 → 7 3 → 6 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 6 + 2 + 6 + 8 + 1 + 8 + 8 + 1 + 0 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1982389854.

Other Providers at the Same Location


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

Physician Assistant
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Orthopaedic Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Physical Medicine & Rehabilitation
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Orthopaedic Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Orthopaedic Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Orthopaedic Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Orthopaedic Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Physical Therapist
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Clinic/Center (Ambulatory Surgical)
1571 WASHINGTON ST, SUITE 202
WATERTOWN, NY 13601
Nurse Practitioner
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Physician Assistant
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Physical Therapist
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Specialist
1571 WASHINGTON ST, SUITE 107
WATERTOWN, NY 13601
Specialist
1571 WASHINGTON ST, SUITE 107
WATERTOWN, NY 13601
Radiology (Diagnostic Radiology)
1571 WASHINGTON ST, SUITE 101
WATERTOWN, NY 13601
Radiology (Diagnostic Radiology)
1571 WASHINGTON ST, SUITE 101
WATERTOWN, NY 13601
Radiology (Diagnostic Radiology)
1571 WASHINGTON ST, SUITE 101
WATERTOWN, NY 13601
Radiology (Diagnostic Radiology)
1571 WASHINGTON ST
WATERTOWN, NY 13601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982389854, enumerated as an "organization" on June 19, 2023.

The provider is located at 1571 WASHINGTON ST SUITE 107 WATERTOWN, NY 13601 and the phone number is (315) 782-7330.

Pediatrics with taxonomy code 208000000X.