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NORTH SHORE UROLOGY, LLP
NPI 1952354235
Urology in Port Jefferson Station, NY

Active since May 18, 2006CLIA 33D0869977 · Waiver
5400 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776(631) 474-3000(631) 474-2476 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Shore Urology, Llp NPPES

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

NORTH SHORE UROLOGY, LLP (NPI 1952354235) is a healthcare organization registered as an urology in Port Jefferson Station, New York and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 29, 2027 and lists Richard Harlowe Rose, Physician, as its authorized official.

NPPES Registry Identity

NPI1952354235
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNORTH SHORE UROLOGY, LLP
Location Address5400 NESCONSET HWYPort Jefferson Station, NY 11776-2028
Mailing Address5400 Nesconset HwyPort Jefferson Station, NY 11776-2028 · (631) 474-3000 · Fax (631) 474-2476
Phone(631) 474-3000
Fax(631) 474-2476
Organization SubpartNo
Authorized OfficialRichard Harlowe RosePhysician · (631) 474-3000
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1952354235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NY · 152168✔ Licensed in NY · 179311✔ Licensed in NY · 1934791
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.
5400 NESCONSET HWY, Port Jefferson Station, NY 11776
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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 MULTIPLE 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 Waiver 33D0869977

North Shore Urology LLP · Port Jefferson Station, NY
Active · expires Apr 29, 2027
CLIA Number33D0869977
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorDr. Eric Mitchnick
Laboratory Phone(631) 474-3000
Laboratory LocationNorth Shore Urology LLP5400 Nesconset Highway, Port Jefferson Station, NY 11776
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

INTEGRATED MEDICAL PROFESSIONALS PLLC
Durable Medical Equipment & Medical Supplies
5400 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 474-3000
ERIC IRA MITCHNICK MD
Urology
5400 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 474-3000
DR. FRANCIS GERARD MARTINIS M.D.
Urology
5400 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 474-3000

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 North Shore Urology, LLP's NPI number?

The NPI number for North Shore Urology, LLP is 1952354235. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is North Shore Urology, LLP located?

North Shore Urology, LLP is located at 5400 Nesconset Hwy, Port Jefferson Station, NY 11776. The listed phone number is (631) 474-3000.

What is North Shore Urology, LLP's specialty?

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

Does North Shore Urology, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0869977) is associated with this NPI, valid through April 29, 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 North Shore Urology, LLP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.