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: July 19, 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
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

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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D1040174
Facility Type
Physician Office
Certificate Effective Date
March 15, 2025
Certificate Expiration Date
March 14, 2027
Laboratory Director
ARNOLD DC RIVERA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Connecticut Urological Associates Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Physical Therapist
111 NEW HAVEN AVE
DERBY, CT 06418
Speech-Language Pathologist
111 NEW HAVEN AVE
DERBY, CT 06418
Physical Therapist
111 NEW HAVEN AVE
DERBY, CT 06418
Chiropractor
111 NEW HAVEN AVE
DERBY, CT 06418
Urology
111 NEW HAVEN AVE, UNIT 5
DERBY, CT 06418
Counselor (Professional)
111 NEW HAVEN AVE
DERBY, CT 06418
Social Worker (Clinical)
111 NEW HAVEN AVE
DERBY, CT 06418
Social Worker (Clinical)
111 NEW HAVEN AVE
DERBY, CT 06418
Counselor (Professional)
111 NEW HAVEN AVE
DERBY, CT 06418
Specialist
111 NEW HAVEN AVE
DERBY, CT 06418
Counselor (Mental Health)
111 NEW HAVEN AVE
DERBY, CT 06418
Counselor (Mental Health)
111 NEW HAVEN AVE
DERBY, CT 06418
Internal Medicine
111 NEW HAVEN AVE
DERBY, CT 06418
Counselor (Professional)
111 NEW HAVEN AVE
DERBY, CT 06418
Social Worker (Clinical)
111 NEW HAVEN AVE
DERBY, CT 06418
Pediatrics
111 NEW HAVEN AVE
DERBY, CT 06418
Occupational Therapist (Pediatrics)
111 NEW HAVEN AVE
DERBY, CT 06418
Chiropractor
111 NEW HAVEN AVE
DERBY, CT 06418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437345113, enumerated as an "organization" on September 17, 2007.

The provider is located at 111 NEW HAVEN AVE UNIT 5 DERBY, CT 06418 and the phone number is (203) 736-4816.

Urology with taxonomy code 208800000X.