Active NPI
Michael A Werner, MD, FACS
- Urology Physician
- Harrison, NY
National Provider Identifier
1124340294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 173066
- Practice address
- 440 Mamaroneck Ave Ste 201
Harrison, NY 10528-2438 - Phone
- (914) 997-4100
- Fax
- (914) 683-0974
- NPI assigned
- Feb 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 033744 | CT | |
| Urology Physician | 208800000X | 61153 | NJ | |
| Urology Physician | 208800000X | 173066 | NY | Primary |
Addresses
Primary practice location
440 Mamaroneck Ave Ste 201
Harrison, NY 10528-2438
Mailing address
440 Mamaroneck Ave Ste 201
Harrison, NY 10528-2438
Phone (914) 997-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2014 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033744 | CT | MD | Urology Physician |
| 61153 | NJ | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1124340294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 MAMARONECK AVE STE 201",
"city": "HARRISON",
"state": "NY",
"postal_code": "105282438",
"telephone_number": "914-997-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 MAMARONECK AVE STE 201",
"city": "HARRISON",
"state": "NY",
"postal_code": "105282438",
"telephone_number": "914-997-4100",
"fax_number": "914-683-0974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MD, FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-17",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "033744",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "61153",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "173066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.