Southern Connecticut Urological Associates LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

043098 Issued in CT

Legal business name

SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC

Practice address

111 New Haven Ave
Unit 5
Derby, CT 06418-2197

Phone

(203) 736-4816

Fax

(203) 732-7956

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Arnold Rivera, MDNPI 1477583045

Title

Sole Member/Owner

Phone

(203) 736-4816

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Arnold DC Rivera, M.D.

  • Urology Physician
  • Derby, CT
  • NPI 1477583045
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1437345113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAVEN AVE",
            "address_2": "UNIT 5",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182197",
            "telephone_number": "203-736-4816",
            "fax_number": "203-732-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NEW HAVEN AVE",
            "address_2": "UNIT 5",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182197",
            "telephone_number": "203-736-4816",
            "fax_number": "203-732-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "203-736-4816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CT",
            "license": "043098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Lee Smith, PA-C
• Shayna Smith
• Bruce R Sofferman, DDS
• Leland J Soto III, MD
• Raina Sotsky, M.D.
• David Spadaro, D.C
• Kenneth S Spector, MD PHD
• Spectrum Healthcare Derby, LLC
• Biannca Squires, LPC
• Elizabeth Anne Starnes, APRN

• Urology Physician in Derby, CT
• Providers in Derby, CT by specialty
• Urology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.