1. Home
  2. Directory
  3. Connecticut
  4. Derby
  5. Urology
  6. NPI Profile

SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC
NPI 1437345113
Urology in Derby, CT

Active since September 17, 2007CLIA 07D1040174 · Waiver
111 NEW HAVEN AVE, UNIT 5, DERBY, CT 06418(203) 736-4816(203) 732-7956 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2023, Jan 18, 2017 (2 updates tracked since 2017).

About Southern Connecticut Urological Associates Llc NPPES

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

SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC (NPI 1437345113) is a healthcare organization registered as an urology in Derby, Connecticut and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Arnold Rivera, Sole Member/owner, as its authorized official.

NPPES Registry Identity

NPI1437345113
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC
Location Address111 NEW HAVEN AVE, UNIT 5Derby, CT 06418-2197
Mailing Address111 New Haven Ave, Unit 5Derby, CT 06418-2197 · (203) 736-4816 · Fax (203) 732-7956
Phone(203) 736-4816
Fax(203) 732-7956
Organization SubpartNo
Authorized OfficialArnold RiveraSole Member/owner · (203) 736-4816
Enumeration DateSeptember 17, 2007
Last NPPES UpdateNovember 24, 20232 updates tracked since enumeration
✔ NPI 1437345113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CT · 043098
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.
111 NEW HAVEN AVE, Derby, CT 06418
Open in Google Maps ↗

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 07D1040174

Southern Connecticut Urological Associates, LLC · Derby, CT
Active · expires Mar 14, 2027
CLIA Number07D1040174
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorArnold Dc Rivera
Laboratory Phone(203) 736-4816
Laboratory LocationSouthern Connecticut Urological Associates, LLC111 New Haven Ave, Rt 34 Unit 5, Derby, CT 06418
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 18

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

INTERNAL MEDICINE & PEDIATRICS LLC
Pediatrics
111 NEW HAVEN AVE
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 736-9214
KAREN DELFINO RPT
Physical Therapist
111 NEW HAVEN AVE
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-8336
PHYSICAL THERAPY OF SOUTHERN CONNECTICUT, P.C.
Specialist
111 NEW HAVEN AVE
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-8336
JAMIE PERRY LCSW
Social Worker (Clinical)
111 NEW HAVEN AVE
DERBY, CT 06418
Naugatuck Valley Planning Region (475) 439-9639
DERBY CHIROPRACTIC OFFICE LLC
Chiropractor
111 NEW HAVEN AVE
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 736-6356
PATRICIA HAAG OT
Occupational Therapist (Pediatrics)
111 NEW HAVEN AVE
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-8336
TEILA MARIE LANCI LCSW
Social Worker (Clinical)
111 NEW HAVEN AVE
DERBY, CT 06418
Naugatuck Valley Planning Region (475) 439-9639
SAFE HARBOR THERAPY
Social Worker (Clinical)
111 NEW HAVEN AVE
DERBY, CT 06418
Naugatuck Valley Planning Region (475) 777-9303

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 Southern Connecticut Urological Associates LLC's NPI number?

The NPI number for Southern Connecticut Urological Associates LLC is 1437345113. It was assigned to this organization in the NPPES registry on September 17, 2007.

Where is Southern Connecticut Urological Associates LLC located?

Southern Connecticut Urological Associates LLC is located at 111 New Haven Ave Unit 5, Derby, CT 06418. The listed phone number is (203) 736-4816.

What is Southern Connecticut Urological Associates LLC's specialty?

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

Does Southern Connecticut Urological Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1040174) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Connecticut Urological Associates LLC was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.