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SOUTH BAY UROLOGIC ASSOCIATES, P.C.
NPI 1972711950
Urology in West Islip, NY

Active since May 21, 2007CLIA 33D0159938 · Microscopy
747 MONTAUK HWY, WEST ISLIP, NY 11795(631) 587-5444(631) 587-4938 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Bay Urologic Associates, P.c. NPPES

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

SOUTH BAY UROLOGIC ASSOCIATES, P.C. (NPI 1972711950) is a healthcare organization registered as an urology in West Islip, New York and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through February 1, 2027 and lists Robert J Berson, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1972711950
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTH BAY UROLOGIC ASSOCIATES, P.C.
Location Address747 MONTAUK HWYWest Islip, NY 11795-4911
Mailing Address747 Montauk HwyWest Islip, NY 11795-4911 · (631) 587-5444 · Fax (631) 587-4938
Phone(631) 587-5444
Fax(631) 587-4938
Organization SubpartNo
Authorized OfficialRobert J BersonPhysician Owner · (631) 587-5444
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972711950 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.
747 MONTAUK HWY, West Islip, NY 11795
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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 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 for Provider-Performed Microscopy Procedures (PPMP) 33D0159938

South Bay Urologic Associates PC A Division Of Integrated Professionals PLLC · West Islip, NY
Active · expires Feb 1, 2027
CLIA Number33D0159938
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorDr. Joseph J. Fisch
Laboratory Phone(631) 587-5444
Laboratory LocationSouth Bay Urologic Associates PC A Division Of Integrated Professionals PLLC747 Montauk Highway, West Islip, NY 11795
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

ROBERT J BERSON MD
Urology
747 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 587-5444
RICHARD J KLEIN M.D.
Obstetrics & Gynecology
747 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 587-4800
KAZIM DOGANAY MD PLLC
Specialist
747 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 661-8836
INTEGRATED MEDICAL PROFESSIONALS PLLC
Durable Medical Equipment & Medical Supplies
747 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 587-5444
A & E OBGYN PC
Clinic/Center (Health Service)
747 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 587-4800
KAZIM DOGANAY M.D. PLLC
Specialist
747 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 661-8836
DR. LADA OSIPOVA D.O
Family Medicine
747 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 321-1286

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 Bay Urologic Associates, P.C.'s NPI number?

The NPI number for South Bay Urologic Associates, P.C. is 1972711950. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is South Bay Urologic Associates, P.C. located?

South Bay Urologic Associates, P.C. is located at 747 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 587-5444.

What is South Bay Urologic Associates, P.C.'s specialty?

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

Does South Bay Urologic Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0159938) is associated with this NPI, valid through February 1, 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 Bay Urologic Associates, P.C. 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.