UROLOGIC SURGICAL CARE PLLC
NPI 1366612434
Urology in Lawrence, NY

Active since March 05, 2008
290 CENTRAL AVENUE, #207, LAWRENCE, NY 11559(516) 239-8585 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Urologic Surgical Care Pllc NPPES

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

UROLOGIC SURGICAL CARE PLLC (NPI 1366612434) is a healthcare organization registered as an urology in Lawrence, New York and active in the NPI registry since March 2008. The organization lists Jason A Grotas, Owner, as its authorized official.

NPPES Registry Identity

NPI1366612434
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGIC SURGICAL CARE PLLC
Location Address290 CENTRAL AVENUE, #207Lawrence, NY 11559-8507
Mailing Address290 Central Avenue, #207Lawrence, NY 11559-8507 · (516) 239-8585
Organization SubpartNo
Authorized OfficialJason A GrotasOwner · (516) 239-8585
Enumeration DateMarch 5, 2008
Last NPPES UpdateDecember 20, 2019
✔ NPI 1366612434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 235437
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
290 CENTRAL AVENUE, Lawrence, NY 11559

Other Identifiers 1

Medicaid02663321NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urologic Surgical Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Urologic Surgical Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1922092295
290 CENTRAL AVE STE 207
Lawrence, NY 11559
(516) 239-8585
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Urologic Surgical Care PLLC's NPI number?

The NPI number for Urologic Surgical Care PLLC is 1366612434. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Urologic Surgical Care PLLC located?

Urologic Surgical Care PLLC is located at 290 Central Avenue #207, Lawrence, NY 11559. The listed phone number is (516) 239-8585.

What is Urologic Surgical Care PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Urologic Surgical Care PLLC enrolled in Medicare?

Yes. Urologic Surgical Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urologic Surgical Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Urologic Surgical Care PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Urologic Surgical Care PLLC was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.