OrganizationActive
South Nassau Urology, PC
NPI 1578928933 · Urology Physician · Freeport, NY
South Nassau Urology, PC is a Urology Physician organization in Freeport, NY (NPI 1578928933).
Provider details
- NPI number
- 1578928933
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- South Nassau Communities Hospital
- Organization subpart
- Yes
- Authorized official
- Mark Bogen, Cfo(516) 632-3965
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
155 W Merrick Rd
Suite 204
Freeport, NY 11520-3743
Phone: (516) 876-0102
Fax: (516) 867-1857
Street-level locationGet directions
Mailing address
1 Healthy Way
Oceanside, NY 11572-1551
Registry dates
- Enumerated
- 2015-12-29
- Last updated
- 2015-12-29
Frequently asked questions
- What is South Nassau Urology, PC's NPI number?
- South Nassau Urology, PC's National Provider Identifier (NPI) is 1578928933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Nassau Urology, PC?
- South Nassau Urology, PC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is South Nassau Urology, PC located?
- South Nassau Urology, PC's practice location on file with NPPES is 155 W Merrick Rd, Freeport, NY 11520-3743.
- What is South Nassau Urology, PC's phone number?
- The practice phone number listed in the NPPES registry for South Nassau Urology, PC is (516) 876-0102.
- Who is the authorized official for South Nassau Urology, PC?
- The authorized official listed on South Nassau Urology, PC's NPPES record is Mark Bogen, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Nassau Urology, PC's NPI active?
- Yes — South Nassau Urology, PC's NPI (1578928933) is active in the NPPES registry as of the last update on 2015-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.