Lake Success Urolgical Associates
NPI 1104823673ActiveOrganization· Urology· Lake Success, NY
Urology in Lake Success, New York, registered in NPPES in June 2005. The authorized official on file is Ruth Borrero, Billing Manager.
Overview
| NPI | 1104823673 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2005 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Urology providers in Lake Success
- 1346203536
- 1942207493
- 1457467086
- 1750388146
- 1689671141
- 1174520621