SOUTH BAY OBSTETRICS GYNECOLOGY PC
NPI 1376655621
Obstetrics & Gynecology in West Islip, NY

Q: What is South Bay Obgyn PC's NPI number?

The NPI number for South Bay Obgyn PC is 1376655621. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is also known as South Bay Obstetrics Gynecology PC.

Q: What is South Bay Obgyn PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since August 31, 2006CLIA 33D2031218 · Waiver

320 MONTAUK HWY, SOUTH BAY OBGYN PC, WEST ISLIP, NY 11795(631) 587-2500(631) 587-0292 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About South Bay Obstetrics Gynecology Pc NPPES

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

SOUTH BAY OBSTETRICS GYNECOLOGY PC (NPI 1376655621) is a healthcare organization registered as an obstetrics & gynecology in West Islip, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Denise E Lester, Physician President Of Pc, as its authorized official.

NPPES Registry Identity

NPI1376655621

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameSOUTH BAY OBGYN PC

Location Address320 MONTAUK HWY, SOUTH BAY OBGYN PCWest Islip, NY 11795-4401

Mailing Address320 Montauk Hwy, South Bay Obgyn PcWest Islip, NY 11795-4401 · (631) 587-2500 · Fax (631) 587-0292

Phone(631) 587-2500

Fax(631) 587-0292

Organization SubpartNo

Authorized OfficialDenise E LesterPhysician President Of Pc · (631) 587-2500

Enumeration DateAugust 31, 2006

Last NPPES UpdateMay 3, 2011

✔ NPI 1376655621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

320 MONTAUK HWY, West Islip, NY 11795

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Other Names 1

Other NameSouth Bay Obstetrics Gynecology Pc

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

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 33D2031218

South Bay Obgyn, A Location Of University Associates In Obgyn, Ufpc · West Islip, NY

Active · expires Mar 26, 2027

CLIA Number33D2031218

Laboratory TypePhysician Office

Certificate Effective DateApril 22, 2022

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Jacqueline A. Ammirata

Laboratory Phone(631) 587-0292

Laboratory LocationSouth Bay Obgyn, A Location Of University Associates In Obgyn, Ufpc320 Montauk Hwy, West Islip, NY 11795

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 10

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

MARGARITA JURAK M.D.

Obstetrics & Gynecology

320 MONTAUK HWY, SOUTH BAY OB/GYN, P.C.
WEST ISLIP, NY 11795

Suffolk County (631) 587-2500

ANGELICA M HERNANDEZ M.D.

Obstetrics & Gynecology (Gynecology)