Organization Active NPI

Southern Westchester Urology PLLC

  • Urology Physician
  • Yonkers, NY
National Provider Identifier
1467143172
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SOUTHERN WESTCHESTER UROLOGY PLLC
Practice address
944 N Broadway Ste G06
Yonkers, NY 10701-1313
Phone
(914) 378-1000
Fax
(914) 378-1951
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marc Charles Janis, MDNPI 1669587879
Title
Managing Physician
Phone
(914) 664-7311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

944 N Broadway Ste G06
Yonkers, NY 10701-1313

Mailing address

944 N Broadway Ste G06
Yonkers, NY 10701-1313
Phone (914) 378-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230707001524 NY Part B Supplier - Clinic/Group Practice 7810356904 Receives reassigned benefits from 2 practitioners
Practice locations: Yonkers, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0940830Southern Westchester Urology, PLLC944 North Broadway, Suite G6, Yonkers, NY 10701Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1467143172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY STE G06",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011313",
            "telephone_number": "914-378-1000",
            "fax_number": "914-378-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY STE G06",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011313",
            "telephone_number": "914-378-1000",
            "fax_number": "914-378-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WESTCHESTER UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "JANIS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "914-664-7311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.