NPIMap

Organization Active NPI

Twenty First Century Urology PLLC

  • Urology Physician
  • Monroe, NY
National Provider Identifier
1629267216
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
239371 Issued in NY
Legal business name
TWENTY FIRST CENTURY UROLOGY PLLC
Practice address
47 Mansion Ridge Blvd
Monroe, NY 10950-5569
Phone
(845) 346-5815
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mr. Sapan Polepalle, MDNPI 1912954009
Title
President
Phone
(845) 346-5815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 239371 NY Primary

Addresses

Primary practice location

47 Mansion Ridge Blvd
Monroe, NY 10950-5569

Mailing address

47 Mansion Ridge Blvd
Monroe, NY 10950-5569
Phone (845) 346-5815

National Provider Directory

National Provider Directory

Locations

2951 Grand Concourse
Apt 3
Bronx, NY 10468
Phone (718) 644-4529

585 Schenectady Ave
Bldg 6TH
Brooklyn, NY 11203
Phone (718) 604-5532

Practitioners & affiliated clinicians

Practitioners 9

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1629267216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MANSION RIDGE BLVD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505569",
            "telephone_number": "845-346-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MANSION RIDGE BLVD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505569",
            "telephone_number": "845-346-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY FIRST CENTURY UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "POLEPALLE",
        "authorized_official_first_name": "SAPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-346-5815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "239371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.