Lake Success Urolgical Associates

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

LAKE SUCCESS UROLGICAL ASSOCIATES

Practice address

2001 Marcus Ave
Suite N-214
Lake Success, NY 11042-1011

Phone

(516) 437-4228

Fax

(516) 355-0637

NPI assigned

Jun 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ruth Borrero

Title

Billing Manager

Phone

(516) 437-4228

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104823673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N-214",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-437-4228",
            "fax_number": "516-355-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N-214",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-437-4228",
            "fax_number": "516-355-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUCCESS UROLGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BORRERO",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-437-4228"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE B",
            "identifier": "C131591",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen M Kostroff, MD
• Anna Krevskaya, M.D.
• Sheila Kumari-Subaiya, M.D.
• Paul Kuperschmid, MD
• Anna Kurzyna-Solinas, MD
• Leonard J. Landesberg, MD
• Maureen Larkin, FNP
• Sebastian Lattuga, MD FACOS
• Todd Lencz, PHD
• Michael A Levine, MD

• Urology Physician in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.