Enhancing populations of suspension feeding bivalves, particularly the eastern oyster, Crassostrea virginica, has been proposed as a means of mitigating eutrophication in coastal waters. Review of studies evaluating the effects of C. virginica on nitrogen (N) cycling found that oysters can have effects on water quality that vary by orders of magnitude among sites, seasons, and growing condition (e.g., oyster reefs, aquaculture). Nitrogen contained in phytoplankton consumed by oysters may be returned to the water column, assimilated into oyster tissue and shell, buried in the sediments, or returned to the atmosphere as dinitrogen gas, primarily via denitrification. Accurately quantifying oyster-related N removal requires detailed knowledge of these primary fates of N in coastal waters. A review of existing data demonstrated that the current state of knowledge is incomplete in many respects. Nitrogen assimilated into oyster tissue and shell per gram of dry weight was generally similar across sites and in oysters growing on reefs compared to aquaculture. Data on long-term burial of N associated with oyster reefs or aquaculture are lacking. When compared to suitable reference sites, denitrification rates were not consistently enhanced. Depending on environmental and oyster growing conditions, changes in denitrification rates varied by orders of magnitude among studies and did not always occur. Oyster aquaculture rarely enhanced denitrification. Unharvested oyster reefs frequently enhanced denitrification rates. Incorporating oysters into nutrient reduction strategies will require filling gaps in existing data to determine the extent to which relationships between N removal and environmental and/or growing conditions can be generalized.