SOUTH NASSAU UROLOGY, PC
NPI 1578928933
Urology in Freeport, NY

Active since December 29, 2015
155 W MERRICK RD, SUITE 204, FREEPORT, NY 11520(516) 876-0102(516) 867-1857 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About South Nassau Urology, Pc NPPES

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

SOUTH NASSAU UROLOGY, PC (NPI 1578928933) is a healthcare organization registered as an urology in Freeport, New York and active in the NPI registry since December 2015. The organization lists Mark Bogen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1578928933
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTH NASSAU UROLOGY, PC
Location Address155 W MERRICK RD, SUITE 204Freeport, NY 11520-3743
Mailing Address1 Healthy Way, Physician BillingOceanside, NY 11572-1551 · (516) 255-1616 · Fax (516) 255-4672
Fax(516) 867-1857
Organization SubpartYesParent: South Nassau Communities Hospital
Authorized OfficialMark BogenCfo · (516) 632-3965
Enumeration DateDecember 29, 2015
✔ NPI 1578928933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
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.
155 W MERRICK RD, Freeport, NY 11520

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

Other Providers at the Same Location NPPES 16

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

Specialist
155 W MERRICK RD, SUITE 202
FREEPORT, NY 11520
Urology
155 W MERRICK RD
FREEPORT, NY 11520
Internal Medicine (Nephrology)
155 W MERRICK RD, SUITE 202
FREEPORT, NY 11520
Surgery
155 W MERRICK RD
FREEPORT, NY 11520
Nurse Practitioner (Adult Health)
155 W MERRICK RD, SUITE 101
FREEPORT, NY 11520
Pharmacy (Community/Retail Pharmacy)
155 W MERRICK RD
FREEPORT, NY 11520
Internal Medicine
155 W MERRICK RD, STE 101
FREEPORT, NY 11520
Specialist
155 W MERRICK RD
FREEPORT, NY 11520

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 Nassau Urology, PC's NPI number?

The NPI number for South Nassau Urology, PC is 1578928933. It was assigned to this organization in the NPPES registry on December 29, 2015.

Where is South Nassau Urology, PC located?

South Nassau Urology, PC is located at 155 W Merrick Rd Suite 204, Freeport, NY 11520. The listed phone number is (516) 876-0102.

What is South Nassau Urology, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for South Nassau Urology, PC was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.