SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC
NPI 1437345113
Urology in Derby, CT
NPI Status: Active since September 17, 2007
Contact Information
111 NEW HAVEN AVE
UNIT 5
DERBY, CT
ZIP 06418
Phone: (203) 736-4816
Fax: (203) 732-7956
- Organization
- Urology
- CLIA Number: 07D1040174
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-14-2027
About SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC
This page provides the complete NPI Profile along with additional information for Southern Connecticut Urological Associates Llc, a provider established in Derby, Connecticut operating as a Urology. The healthcare provider is registered in the NPI registry with number 1437345113 assigned on September 2007. The practitioner's primary taxonomy code is 208800000X with license number 043098 (CT). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Arnold Rivera Md (Sole Member/owner)
- NPI
- 1437345113
- Provider Name
- SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC
- Entity Type
- Organization
- Location Address
- 111 NEW HAVEN AVE UNIT 5 DERBY, CT 06418
- Location Phone
- (203) 736-4816
- Location Fax
- (203) 732-7956
- Mailing Address
- 111 NEW HAVEN AVE UNIT 5 DERBY, CT 06418
- Mailing Phone
- (203) 736-4816
- Mailing Fax
- (203) 732-7956
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-17-2007
- Last Update Date
- 11-24-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 043098
- License State
- CT
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D1040174
- Facility Type
- Physician Office
- Certificate Effective Date
- March 15, 2025
- Certificate Expiration Date
- March 14, 2027
- Laboratory Director
- ARNOLD DC RIVERA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Connecticut Urological Associates Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 3 | 4 | 5 | 1 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 6 | 4 | 10 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 6 + 4 + 1 + 0 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1437345113 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144341173 | KAREN DELFINO RPT Individual | Physical Therapist | 111 NEW HAVEN AVE DERBY, CT 06418 (203) 735-8336 |
| 1750403481 | PATRICIA MORROW ST Individual | Speech-Language Pathologist | 111 NEW HAVEN AVE DERBY, CT 06418 (203) 735-8336 |
| 1487877007 | RARUENJIT MAJARONE RPT Individual | Physical Therapist | 111 NEW HAVEN AVE DERBY, CT 06418 (203) 735-8336 |
| 1255544078 | PATRICIA HAAG OT Individual | Occupational Therapist | 111 NEW HAVEN AVE DERBY, CT 06418 (203) 735-8336 |
| 1215488515 | DERBY CHIROPRACTIC OFFICE LLC Organization | Chiropractor | 111 NEW HAVEN AVE DERBY, CT 06418 (203) 736-6356 |
| 1477583045 | DR. ARNOLD DC RIVERA M.D. Individual | Urology | 111 NEW HAVEN AVE UNIT 5 DERBY, CT 06418 (203) 736-4816 |
| 1891346144 | DANIELLE CROTEAU Individual | Counselor (Professional) | 111 NEW HAVEN AVE DERBY, CT 06418 (203) 448-7622 |
| 1013122993 | INTERNAL MEDICINE & PEDIATRICS LLC Organization | Internal Medicine | 111 NEW HAVEN AVE DERBY, CT 06418 (203) 736-9214 |
| 1255940094 | TEILA MARIE LANCI LCSW Individual | Social Worker (Clinical) | 111 NEW HAVEN AVE DERBY, CT 06418 (475) 439-9639 |
| 1194390617 | JAMIE PERRY LCSW Individual | Social Worker (Clinical) | 111 NEW HAVEN AVE DERBY, CT 06418 (475) 439-9639 |
| 1881369718 | SARAH ANN JONES LPC Individual | Counselor (Professional) | 111 NEW HAVEN AVE DERBY, CT 06418 (475) 439-9639 |
| 1164585451 | PHYSICAL THERAPY OF SOUTHERN CONNECTICUT, P.C. Organization | Specialist | 111 NEW HAVEN AVE DERBY, CT 06418 (203) 735-8336 |
| 1750095642 | JILLIAN RAE CELENTANO MSW Individual | Counselor (Mental Health) | 111 NEW HAVEN AVE DERBY, CT 06418 (475) 439-9639 |
| 1396521514 | TIANA GRIFFIN Individual | Counselor (Mental Health) | 111 NEW HAVEN AVE DERBY, CT 06418 (475) 439-9639 |
| 1902011885 | DR. ROBERT NELSON HYDE III MD Individual | Internal Medicine | 111 NEW HAVEN AVE DERBY, CT 06418 (203) 736-9214 |
| 1710741442 | JETT DISPOTO MOXLEY LPCA Individual | Counselor (Professional) | 111 NEW HAVEN AVE DERBY, CT 06418 (475) 439-9639 |
| 1285440065 | SAFE HARBOR THERAPY Organization | Social Worker (Clinical) | 111 NEW HAVEN AVE DERBY, CT 06418 (475) 777-9303 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437345113, enumerated in the NPI registry as an "organization" on September 17, 2007
The provider is located at 111 New Haven Ave Unit 5 Derby, Ct 06418 and the phone number is (203) 736-4816
This medical organization specializes in Urology with taxonomy code 208800000X
The provider's CLIA number is 07D1040174 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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