UROLOGIC SURGICAL CARE PLLC NPI 1366612434

NPI Information

  • NPI: 1366612434
  • Provider Name: UROLOGIC SURGICAL CARE PLLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 33D0951447
  • Address: 290 CENTRAL AVENUE
    #207
    LAWRENCE, NY
    ZIP 11559
  • Phone: (516) 239-8585

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NPI Details

UROLOGIC SURGICAL CARE PLLC is an urology in Lawrence, NY. The provider is 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. UROLOGIC SURGICAL CARE PLLC NPI is 1366612434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

290 CENTRAL AVENUE
#207
LAWRENCE, NY
ZIP 11559-507
Phone: (516) 239-8585

The provider's authorized official is Jason A Grotas .
The authorized official title is Owner and has the following contact phone number (516) 239-8585.

The CLIA number assigned to this NPI record is 33D0951447 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 12/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology235437NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102663321MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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