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

NPI Status: Active since May 21, 2007

Contact Information

747 MONTAUK HWY
WEST ISLIP, NY
ZIP 11795
Phone: (631) 587-5444
Fax: (631) 587-4938

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  • Organization
  • Urology
  • CLIA Number: 33D0159938
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-01-2027

About SOUTH BAY UROLOGIC ASSOCIATES, P.C.

This page provides the complete NPI Profile along with additional information for South Bay Urologic Associates, P.c., a provider established in West Islip, New York operating as a Urology. The healthcare provider is registered in the NPI registry with number 1972711950 assigned on May 2007. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Robert J Berson M.d. (Physician Owner)

NPI
1972711950
Provider Name
SOUTH BAY UROLOGIC ASSOCIATES, P.C.
Entity Type
Organization
Location Address
747 MONTAUK HWY WEST ISLIP, NY 11795
Location Phone
(631) 587-5444
Location Fax
(631) 587-4938
Mailing Address
747 MONTAUK HWY WEST ISLIP, NY 11795
Mailing Phone
(631) 587-5444
Mailing Fax
(631) 587-4938
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT J BERSON M.D.

Authorized Official Title
PHYSICIAN OWNER
Authorized Official Phone
(631) 587-5444

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0159938
Facility Type
Physician Office
Certificate Effective Date
February 02, 2025
Certificate Expiration Date
February 01, 2027
Laboratory Director
DR. JOSEPH J. FISCH
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to South Bay Urologic Associates, P.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972711950, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 4 + 1 + 2 + 9 + 1 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1972711950.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine
747 MONTAUK HWY
WEST ISLIP, NY 11795
Specialist
747 MONTAUK HWY
WEST ISLIP, NY 11795
Specialist
747 MONTAUK HWY
WEST ISLIP, NY 11795
Urology
747 MONTAUK HWY
WEST ISLIP, NY 11795
Obstetrics & Gynecology
747 MONTAUK HWY
WEST ISLIP, NY 11795
Clinic/Center (Health Service)
747 MONTAUK HWY
WEST ISLIP, NY 11795
Durable Medical Equipment & Medical Supplies
747 MONTAUK HWY
WEST ISLIP, NY 11795

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972711950, enumerated as an "organization" on May 21, 2007.

The provider is located at 747 MONTAUK HWY WEST ISLIP, NY 11795 and the phone number is (631) 587-5444.

Urology with taxonomy code 208800000X.