Active NPI
Urological Associates of Li, PC
- Specialist
- Port Jefferson, NY
National Provider Identifier
1093987265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- UROLOGICAL ASSOCIATES OF LI, PC
- Practice address
- 635 Belle Terre Rd
Ste 202
Port Jefferson, NY 11777-1935 - Phone
- (631) 473-1058
- Fax
- (631) 473-0238
- NPI assigned
- Mar 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia A Markin
- Title
- Office Manager
- Phone
- (631) 475-5051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
635 Belle Terre Rd
Ste 202
Port Jefferson, NY 11777-1935
Mailing address
250 Yaphank Rd
Ste 11B
East Patchogue, NY 11772-4800
Phone (631) 475-5051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C14556 | Other | NY | RAILROAD MEDICARE |
National Provider Directory
National Provider Directory- Tax ID family
- Urological Associates of Li PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Greenport, NY
- NPI 1639341803
-
- Specialist
- Riverhead, NY
- NPI 1902078173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1093987265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 YAPHANK RD",
"address_2": "STE 11B",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724800",
"telephone_number": "631-475-5051",
"fax_number": "631-475-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 BELLE TERRE RD",
"address_2": "STE 202",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771935",
"telephone_number": "631-473-1058",
"fax_number": "631-473-0238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGICAL ASSOCIATES OF LI, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "MARKIN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-475-5051",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C14556",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.