South Bay Urologic Associates, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTH BAY UROLOGIC ASSOCIATES, P.C.

Practice address

747 Montauk Hwy
West Islip, NY 11795-4911

Phone

(631) 587-5444

Fax

(631) 587-4938

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Berson, M.D.

Title

Physician Owner

Phone

(631) 587-5444

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972711950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954911",
            "telephone_number": "631-587-5444",
            "fax_number": "631-587-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954911",
            "telephone_number": "631-587-5444",
            "fax_number": "631-587-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY UROLOGIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "631-587-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Soo
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• Sophia L. Fu, M.D., P.C.
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• South Bay OBGYN PC
• South Main Chiropractic,P.C.
• South Shore Atlantic Physical Therapy PLLC
• South Shore Medical Services PLLC
• South Shore Orthopaedic Associates
• South Shore Womens Care PLLC

• Urology Physician in West Islip, NY
• Providers in West Islip, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.