NPIMap

Organization Active NPI

South Shore Nephrology, P.C.

  • Specialist
  • Plymouth, MA
National Provider Identifier
1124305099
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
203175 Issued in MA
Legal business name
SOUTH SHORE NEPHROLOGY, P.C.
Practice address
47 Obery Street
Suite 1a
Plymouth, MA 02360-2229
Phone
(508) 747-4883
Fax
(508) 747-6661
NPI assigned
Nov 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Dr. Piotr LazowskiNPI 1386691012
Title
Doctor
Phone
(508) 747-4883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 203175 MA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 207726 MA

Addresses

Primary practice location

47 Obery Street
Suite 1a
Plymouth, MA 02360-2229

Mailing address

47 Obery Street
Suite 1a
Plymouth, MA 02360-2229
Phone (508) 747-4883

Other names 1

  • Piotr Lazowski, MD, P.C. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Piotr Lazowski MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1124305099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OBERY STREET",
            "address_2": "SUITE 1A",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602229",
            "telephone_number": "508-747-4883",
            "fax_number": "508-747-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OBERY STREET",
            "address_2": "SUITE 1A",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602229",
            "telephone_number": "508-747-4883",
            "fax_number": "508-747-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE NEPHROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "LAZOWSKI",
        "authorized_official_first_name": "PIOTR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "508-747-4883",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "203175",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "207726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piotr Lazowski, MD, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.