NPIMap

Individual provider Active NPI

Marc Charles Janis, MD

  • Urology Physician
  • Mount Vernon, NY
National Provider Identifier
1669587879
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
171207 Issued in NY
Practice address
105 Stevens Ave
Suite 109
Mount Vernon, NY 10550-2682
Phone
(914) 664-7311
Fax
(914) 664-2530
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 171207 NY Primary

Addresses

Primary practice location

105 Stevens Ave
Suite 109
Mount Vernon, NY 10550-2682

Mailing address

105 Stevens Ave Ste 109
Mount Vernon, NY 10550-2682
Phone (914) 664-7311

Other identifiers 12

IdentifierTypeStateIssuer
1000017523OtherAFFINITY
WS889OtherNYOXFORD
4573899OtherAETNA
01475350MedicaidNY
2900116OtherGHUBB
6010835OtherGHL
79403OtherPHCS
29430POtherHIP
133870823OtherPOMCO
552931OtherNYUSHC
0D0068OtherPHS
1147638OtherNYUNITED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000070 NY Practitioner - Urology 5092867135 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Albert Einstein College of Medicine of Yeshiva University, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Mount Vernon HospitalGroup PAC ID 7810122231, 18 clinicians

Practice addresses (Care Compare)

105 Stevens Ave
Suite 109
Mount Vernon, NY 10550-2682
Phone (914) 664-7311

12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 664-8000

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

Hospital & facility affiliations

  • St Joseph'S Medical Center Hospital, Yonkers, NY, CCN 330006
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
  • Montefiore Mount Vernon Hospital Hospital, Mount Vernon, NY, CCN 330086
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
23.41 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.04

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as individual
Quality
64.92
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171207NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Westchester Urology PLLC Urology CurrentSince Jun 1, 2023 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Mar 1, 2026 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 8, 2014 Accepting new patients
Yonkers Urology P.C. Current Accepting new patients
Montefiore Mount Vernon Hospital CurrentSince Nov 6, 2013 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 8, 2014 Accepting new patients
Marc Janis MD PLLC Urology CurrentSince Oct 1, 2012 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jun 22, 2009 Accepting new patients
St. Joseph'S Hospital Yonkers CurrentSince Jun 17, 2023 Accepting new patients
St Josephs Hospital Yonkers CurrentSince Jun 17, 2023 Accepting new patients
Integrated Medical Professionals PLLC Urology PastSince Jun 22, 2009 Accepting new patients

Locations

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

105 Stevens Ave
Ste 109
Mount Vernon, NY 10550
Phone (914) 337-3070

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

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

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

107 S Broadway
Yonkers, NY 10701
Phone (914) 378-7110

Networks

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

Interoperability endpoints

  • Direct secure messaging: marc.janis.p1@direct.saintjosephs.nextgenshare.com
  • Direct secure messaging: marcjanis@mjmd.allscriptsdirect.net

Organizations & group practices 11

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 9

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1669587879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 109",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502682",
            "telephone_number": "914-664-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE 109",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502682",
            "telephone_number": "914-664-7311",
            "fax_number": "914-664-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIS",
        "first_name": "MARC",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "171207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000017523",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS889",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4573899",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01475350",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHUBB",
            "identifier": "2900116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHL",
            "identifier": "6010835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "79403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "29430P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "133870823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "552931",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "0D0068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1147638",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.