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UROLOGIC SURGICAL ASSOCIATES PC
NPI 1659322022
Urology in Brooklyn, NY

Active since May 12, 2006
4711 12TH AVE, BROOKLYN, NY 11219(718) 436-3900 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Urologic Surgical Associates Pc NPPES

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

UROLOGIC SURGICAL ASSOCIATES PC (NPI 1659322022) is a healthcare organization registered as an urology in Brooklyn, New York and active in the NPI registry since May 2006. The organization lists Sasha Wainstein, President, as its authorized official.

NPPES Registry Identity

NPI1659322022
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGIC SURGICAL ASSOCIATES PC
Location Address4711 12TH AVEBrooklyn, NY 11219-2540
Mailing Address4711 12th AveBrooklyn, NY 11219-2540
Phone(718) 436-3900
Organization SubpartNo
Authorized OfficialSasha WainsteinPresident · (718) 436-3900
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1659322022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 117965
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.
4711 12TH AVE, Brooklyn, NY 11219
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Other Identifiers 1

Medicaid00219961NY

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 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 Compliance 33D0923908

Urologic Surgical Associates PC · Brooklyn, NY
Expired · Jul 31, 2026
CLIA Number33D0923908
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Kenneth T. Hennrick
Laboratory Phone(718) 436-3900
Laboratory LocationUrologic Surgical Associates PC4720 Fort Hamilton Parkway, Suite 1, Brooklyn, NY 11219
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

MRS. JESSICA MARCUS M.S. ED
Specialist
4711 12TH AVE, APT. F6
BROOKLYN, NY 11219
Kings County (718) 853-7305

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 Urologic Surgical Associates PC's NPI number?

The NPI number for Urologic Surgical Associates PC is 1659322022. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Urologic Surgical Associates PC located?

Urologic Surgical Associates PC is located at 4711 12th Ave, Brooklyn, NY 11219. The listed phone number is (718) 436-3900.

What is Urologic Surgical Associates 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 Urologic Surgical Associates PC was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.