ST. NICHOLAS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
ST. NICHOLAS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1033631064, based in New York, NY. It is classified under Vascular Surgery Physician.
Getting there
The practice address on file is 1264 SAINT NICHOLAS AVE STE A, New York, NY 10033. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7618231457
- Enrollment ID
- O20180503001031
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Vascular Surgery covers
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NUCC Health Care Provider Taxonomy, code 2086S0129X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1033631064 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 11, 2017 |
| Last updated | Jul 11, 2017 |
| Status | Active |
| Practice address |
1264 SAINT NICHOLAS AVE STE A New York, NY 10033 (718) 301-1100 Fax (224) 246-8042 |
| Mailing address |
304 WAINWRIGHT DR Northbrook, IL 60062 |
| Other identifiers |
036113246
· Medicaid (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 3 | 3 | 6 | 3 | 1 | 0 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 6 | 3 | 3 | 3 | 2 | 0 | 3 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.