South Shore Sc, LLC
NPI 1508005976 · Ambulatory Surgical Clinic/Center · Bay Shore, NY
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Shore Sc, LLC is a Ambulatory Surgical Clinic/Center organization in Bay Shore, NY (NPI 1508005976).
Provider details
- NPI number
- 1508005976
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wendy Martinez, Facility Administrator(631) 647-5550
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
597 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Incision Or Removal of Spinal Nerve64772 | 98 | $664 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 85 | $819 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 52 | $388 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 52 | $459 |
| Destruction of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64633 | 46 | $743 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-02-09
- Last updated
- 2023-11-16
- Certified
- 2023-11-16
Frequently asked questions
- What is South Shore Sc, LLC's NPI number?
- South Shore Sc, LLC's National Provider Identifier (NPI) is 1508005976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore Sc, LLC?
- South Shore Sc, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Shore Sc, LLC located?
- South Shore Sc, LLC's practice location on file with NPPES is 53 Brentwood Rd, Bay Shore, NY 11706-6923.
- What is South Shore Sc, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Shore Sc, LLC is (781) 733-2235.
- Does South Shore Sc, LLC accept Medicare?
- South Shore Sc, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Shore Sc, LLC?
- The authorized official listed on South Shore Sc, LLC's NPPES record is Wendy Martinez, Facility Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore Sc, LLC's NPI active?
- Yes — South Shore Sc, LLC's NPI (1508005976) is active in the NPPES registry as of the last update on 2023-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.