Individual provider Active NPI

Luay S Marji, MD

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1477532828
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204489 Issued in NY
Practice address
147 Park Ave
Yonkers, NY 10703-2937
Phone
(914) 375-4433
Fax
(914) 375-1771
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204489 NY Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 204489 NY
Adult Medicine Physician 207QA0505X 204489 NY
Geriatric Medicine (Family Medicine) Physician 207QG0300X 204489 NY

Addresses

Primary practice location

147 Park Ave
Yonkers, NY 10703-2937

Mailing address

9 Hidden Glen Rd
Scarsdale, NY 10583-1230
Phone (914) 375-4433

Other names 1

  • Dr. Luay S. Marji Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051207000889 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 3678594520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Westchester Family Medicine, P.C.Group PAC ID 4082638044, 2 clinicians

Practice addresses (Care Compare)

147 Park Ave
Yonkers, NY 10703-2937
Phone (914) 375-4433

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204489NYMDAdolescent Medicine (Family Medicine) Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
East Side Psychiatric Services, PC Past Accepting new patients
Southern Westchester Diabetes, PC PastSince Jun 11, 2001 Accepting new patients
Broadway Medical Services PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1477532828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HIDDEN GLEN RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831230",
            "telephone_number": "914-375-4433",
            "fax_number": "914-375-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032937",
            "telephone_number": "914-375-4433",
            "fax_number": "914-375-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARJI",
        "first_name": "LUAY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2024-01-08",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204489",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "204489",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "204489",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "204489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUAY",
            "last_name": "MARJI",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.