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

Active since February 09, 2009CLIA 33D2010534 · Waiver
53 BRENTWOOD RD, BAY SHORE, NY 11706(781) 733-2235(973) 506-1887 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1508005976
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH SHORE SC, LLC
Location Address53 BRENTWOOD RDBay Shore, NY 11706-6923
Mailing Address53 Brentwood Rd Ste FBay Shore, NY 11706-6943 · (631) 647-5550 · Fax (631) 647-5549
Fax(973) 506-1887
Organization SubpartNo
Authorized OfficialWendy Nil MartinezFacility Administrator · (631) 647-5550
Enumeration DateFebruary 9, 2009
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
NPI 1508005976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
53 BRENTWOOD RD, Bay Shore, NY 11706

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, NY
Active · expires Mar 26, 2027
CLIA Number33D2010534
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 29, 2010
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. James L. Marzec
Laboratory Phone(631) 647-5550
Laboratory LocationSouth Shore Surgery Center, LLC53 Brentwood Road Suite F, Bay Shore, NY 11706
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

Incision or removal of spinal nerve 64772
Incision or removal of a spinal nerve is a surgical procedure aimed to relieve pain or improve function. This involves making a cut to access the spine and carefully removing or adjusting the nerve that's causing issues. It's performed under anesthesia and recovery time varies.
98 services33 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
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.
85 services49 patients
Injection of substance into lower spine canal using imaging guidance 62323
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.
52 services42 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
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.
52 services25 patients
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633
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.
46 services24 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
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.
45 services29 patients

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.

Physical Therapist
53 BRENTWOOD RD, SUITE B
BAY SHORE, NY 11706
Orthopaedic Surgery
53 BRENTWOOD RD, SUITE A
BAY SHORE, NY 11706
Dermatology
53 BRENTWOOD RD, SUITE D
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

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.