SOUTH SHORE SC, LLC
NPI 1508005976
Clinic/Center - Ambulatory Surgical in Bay Shore, NY
About South Shore Sc, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SHORE SC, LLC (NPI 1508005976) is a healthcare organization registered as an ambulatory surgical in Bay Shore, New York and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Wendy Nil Martinez, Facility Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 33D2010534
South Shore Surgery Center, LLC · Bay Shore, NYAreas of Expertise CMS Part B claims 16
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BAY SHORE, NY 11706
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 South Shore Sc, LLC's NPI number?
The NPI number for South Shore Sc, LLC is 1508005976. It was assigned to this organization in the NPPES registry on February 9, 2009.
Where is South Shore Sc, LLC located?
South Shore Sc, LLC is located at 53 Brentwood Rd, Bay Shore, NY 11706. The listed phone number is (781) 733-2235.
What is South Shore Sc, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does South Shore Sc, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2010534) is associated with this NPI, valid through March 26, 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 South Shore Sc, LLC was last updated on November 16, 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.