SOUTH SHORE SC, LLC
NPI 1508005976
Clinic/Center - Ambulatory Surgical in Bay Shore, NY

NPI Status: Active since February 09, 2009

Contact Information

53 BRENTWOOD RD
BAY SHORE, NY
ZIP 11706
Phone: (781) 733-2235
Fax: (973) 506-1887

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 33D2010534
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-26-2027

About SOUTH SHORE SC, LLC

This page provides the complete NPI Profile along with additional information for South Shore Sc, Llc, a provider established in Bay Shore, New York operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1508005976 assigned on February 2009. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Wendy Nil Martinez Rn (Facility Administrator)

NPI
1508005976
Provider Name
SOUTH SHORE SC, LLC
Entity Type
Organization
Location Address
53 BRENTWOOD RD BAY SHORE, NY 11706
Location Phone
(781) 733-2235
Location Fax
(973) 506-1887
Mailing Address
53 BRENTWOOD RD STE F BAY SHORE, NY 11706
Mailing Phone
(631) 647-5550
Mailing Fax
(973) 506-1887
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2009
Last Update Date
11-16-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WENDY NIL MARTINEZ RN

Authorized Official Title
FACILITY ADMINISTRATOR
Authorized Official Phone
(631) 647-5550

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of lining of uterus and/or removal of polyp using an endoscope

This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.

This service was performed 21 times for 21 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 74 times for 40 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 32 times for 18 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

This service was performed 16 times for 14 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 29 times for 19 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 84 times for 50 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 45 times for 20 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 36 times for 32 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

This service was performed 18 times for 11 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 22 times for 15 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 30 times for 25 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

This service was performed 27 times for 27 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 14 times for 14 patients

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
33D2010534
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 29, 2010
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. JAMES L. MARZEC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Shore Sc, 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508005976, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 0 + 0 + 1 + 0 + 9 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1508005976.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physical Therapist
53 BRENTWOOD RD, SUITE B
BAY SHORE, NY 11706
Internal Medicine (Endocrinology, Diabetes & Metabolism)
53 BRENTWOOD RD, SUITE E
BAY SHORE, NY 11706
Orthopaedic Surgery
53 BRENTWOOD RD, SUITE A
BAY SHORE, NY 11706
Physical Therapist
53 BRENTWOOD RD, SUITE B
BAY SHORE, NY 11706
Dermatology
53 BRENTWOOD RD, SUITE D
BAY SHORE, NY 11706
Orthopaedic Surgery
53 BRENTWOOD RD, SUITE A
BAY SHORE, NY 11706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508005976, enumerated as an "organization" on February 09, 2009.

The provider is located at 53 BRENTWOOD RD BAY SHORE, NY 11706 and the phone number is (781) 733-2235.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.