BAY SHORE PEDIATRICS
NPI 1417179771
Clinic/Center - Primary Care in Prince Frederick, MD

Active since May 03, 2007CLIA 21D1004037 · Waiver
130 HOSPITAL RD, SUITE 207, PRINCE FREDERICK, MD 20678(410) 535-5959(410) 414-4662 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bay Shore Pediatrics NPPES

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

BAY SHORE PEDIATRICS (NPI 1417179771) is a healthcare organization registered as a primary care in Prince Frederick, Maryland and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Michael A. Skolnick, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1417179771
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSCS, LLC
Location Address130 HOSPITAL RD, SUITE 207Prince Frederick, MD 20678
Mailing AddressP.o. Box 3509Prince Frederick, MD 20678 · (410) 535-5959 · Fax (410) 414-4662
Fax(410) 414-4662
Organization SubpartNo
Authorized OfficialMichael A. SkolnickPractice Manager · (410) 535-5959
Enumeration DateMay 3, 2007
Last NPPES UpdateOctober 20, 2011
NPI 1417179771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
130 HOSPITAL RD, Prince Frederick, MD 20678

Other Names 1

Doing Business AsBay Shore Pediatrics

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 21D1004037

Scs LLC Dba Bay Shore Pediatrics · Prince Frederick, MD
Active · expires Sep 17, 2026
CLIA Number21D1004037
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorMichael A. Skolnick MD
Laboratory Phone(410) 535-5959
Laboratory LocationScs LLC Dba Bay Shore Pediatrics130 Hospital Rd Ste 207, Prince Frederick, MD 20678
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 19

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

Clinical Medical Laboratory
130 HOSPITAL RD, SUITE 101
PRINCE FREDERICK, MD 20678
Pediatrics (Adolescent Medicine)
130 HOSPITAL RD, SUITE 207
PRINCE FREDERICK, MD 20678
Physical Therapist
130 HOSPITAL RD, SUITE 103
PRINCE FREDERICK, MD 20678
Physical Therapist
130 HOSPITAL RD, SUITE 103
PRINCE FREDERICK, MD 20678
Physician Assistant
130 HOSPITAL RD, SUITE 101
PRINCE FREDERICK, MD 20678
Obstetrics & Gynecology (Gynecology)
130 HOSPITAL RD, SUITE 201
PRINCE FREDERICK, MD 20678
Pediatrics (Adolescent Medicine)
130 HOSPITAL RD, SUITE 207
PRINCE FREDERICK, MD 20678
Physical Therapist
130 HOSPITAL RD, SUITE 103
PRINCE FREDERICK, MD 20678

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 Scs, LLC's NPI number?

The NPI number for Scs, LLC is 1417179771. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Bay Shore Pediatrics.

Where is Scs, LLC located?

Scs, LLC is located at 130 Hospital Rd Suite 207, Prince Frederick, MD 20678. The listed phone number is (410) 535-5959.

What is Scs, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Scs, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1004037) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scs, LLC was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.