SOUTH SHORE NEPHROLOGY, P.C. - NPI 1073578779 - Internal Medicine in Plymouth, MA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

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About South Shore Nephrology, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE NEPHROLOGY, P.C. (NPI 1073578779) is a healthcare organization registered as a nephrology in Plymouth, Massachusetts and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 3, 2026, maintains 2 additional practice locations, and lists Piotr Lazowski, Doctor, as its authorized official.

NPPES Registry Identity

NPI1073578779

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameSOUTH SHORE NEPHROLOGY, P.C.

Location Address47 OBERY ST STE 1APlymouth, MA 02360-2230

Mailing Address47 Obery St Ste 1aPlymouth, MA 02360-2230 · (508) 747-4883 · Fax (508) 747-6661

Phone(508) 747-4883

Fax(508) 747-6661

Organization SubpartNo

Authorized OfficialPiotr LazowskiDoctor · (508) 747-4883

Enumeration DateApril 18, 2006

Last NPPES UpdateMay 13, 20264 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1073578779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

47 OBERY ST STE 1A, Plymouth, MA 02360

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Secondary Practice Locations 2

Location 16 Main St Ste 2Hyannis, MA 02601-3112 · Phone (508) 747-4883 · Fax (508) 747-6661

Location 290 Ter Heun Dr Ste 302Falmouth, MA 02540-2533 · Phone (508) 747-4883 · Fax (508) 747-6661

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D1004752

South Shore Nephrology PC · Plymouth, MA

Active · expires Oct 3, 2026

CLIA Number22D1004752

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2024

Certificate Expiration DateOctober 3, 2026

Laboratory DirectorPiotr Lazowski

Laboratory Phone(508) 747-4883

Laboratory LocationSouth Shore Nephrology PC47 Obery Street, Suite 1a, Plymouth, MA 02360

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAREN V HEBSHIE-BISHOP ANP

Nurse Practitioner (Adult Health)