Marc Janis MD PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

MARC JANIS MD PLLC

Practice address

150 Stevens Ave
Suite 109
Mount Vernon, NY 10550-2596

Phone

(914) 664-7311

Fax

(914) 664-2530

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Marc C Janis, MDNPI 1669587879

Title

Owner

Phone

(914) 664-7311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Charles Janis, MD

  • Urology Physician
  • Mount Vernon, NY
  • NPI 1669587879
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1750631891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 STEVENS AVE",
            "address_2": "SUITE 109",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502596",
            "telephone_number": "914-664-7311",
            "fax_number": "914-664-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 STEVENS AVE",
            "address_2": "SUITE 109",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502596",
            "telephone_number": "914-664-7311",
            "fax_number": "914-664-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC JANIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "JANIS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-664-7311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Mancebo
• Mark G Mandato, D.P.M.
• John P Manfredi, D.C.
• Pauline C Manhertz, SPECIAL EDUCATOR
• Tracee Mapp
• Keith Marder
• Estelle A Marin, R.P.N.
• Samuel N. Mark, MD
• Arelys Marmolejos, MA
• Jensyn Marquesano

• Urology Physician in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.