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SOUTHERN WESTCHESTER NEPHROLOGY PLLC
NPI 1033416342
Internal Medicine - Nephrology in Yonkers, NY

Active since February 23, 2011CLIA 33D0861091 · Waiver
136 S BROADWAY, YONKERS, NY 10701(914) 965-0621 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southern Westchester Nephrology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN WESTCHESTER NEPHROLOGY PLLC (NPI 1033416342) is a healthcare organization registered as a nephrology in Yonkers, New York and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026, maintains a secondary practice location in Yonkers, and lists Dominick Frank Reda, Owner, as its authorized official.

NPPES Registry Identity

NPI1033416342
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHERN WESTCHESTER NEPHROLOGY PLLC
Location Address136 S BROADWAYYonkers, NY 10701-4008
Mailing Address24 Parkfield RdScarsdale, NY 10583-1616
Phone(914) 965-0621
Organization SubpartNo
Authorized OfficialDominick Frank RedaOwner · (914) 965-0621
Enumeration DateFebruary 23, 2011
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1033416342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 168949
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
136 S BROADWAY, Yonkers, NY 10701
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Secondary Practice Location 1

Location 11088 N Broadway Fl 2Yonkers, NY 10701 · Phone (914) 965-0621

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0861091

Southern Westchester Nephrology PLLC · Yonkers, NY
Active · expires Aug 31, 2026
CLIA Number33D0861091
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Dominick F. Reda
Laboratory Phone(914) 965-0621
Laboratory LocationSouthern Westchester Nephrology PLLC136 South Broadway, Yonkers, NY 10701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOMINICK F. REDA M.D.
Internal Medicine (Nephrology)
136 S BROADWAY
YONKERS, NY 10701
Westchester County (914) 965-0621
MAURICIO VALDES M.D.
Internal Medicine (Nephrology)
136 S BROADWAY
YONKERS, NY 10701
Westchester County (914) 965-0621
DR. MAJED MARK SAMARNEH MD
Internal Medicine
136 S BROADWAY
YONKERS, NY 10701
Westchester County (914) 965-0621
MS. CHERYL BARBARA BRODY R.D.
Dietitian, Registered
136 S BROADWAY
YONKERS, NY 10701
Westchester County (914) 912-5041
RETINA GROUP P.C.
Ophthalmology (Retina Specialist)
136 S BROADWAY
YONKERS, NY 10701
Westchester County (718) 798-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Westchester Nephrology PLLC's NPI number?

The NPI number for Southern Westchester Nephrology PLLC is 1033416342. It was assigned to this organization in the NPPES registry on February 23, 2011.

Where is Southern Westchester Nephrology PLLC located?

Southern Westchester Nephrology PLLC is located at 136 S Broadway, Yonkers, NY 10701. The listed phone number is (914) 965-0621.

What is Southern Westchester Nephrology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Southern Westchester Nephrology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0861091) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Westchester Nephrology PLLC was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.