SOUTHERN WESTCHESTER MEDICAL PC
NPI 1174138382
Clinic/Center - Primary Care in Yonkers, NY

Active since September 14, 2020CLIA 33D2229503 · Waiver
944 N BROADWAY STE G04, YONKERS, NY 10701(914) 376-2800(914) 376-2808 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2023, Sep 14, 2020 (2 updates tracked since 2020).

About Southern Westchester Medical Pc NPPES

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

SOUTHERN WESTCHESTER MEDICAL PC (NPI 1174138382) is a healthcare organization registered as a primary care in Yonkers, New York and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Joseph Nshiewat, Owner, as its authorized official.

NPPES Registry Identity

NPI1174138382
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHERN WESTCHESTER MEDICAL PC
Location Address944 N BROADWAY STE G04Yonkers, NY 10701-1307
Mailing Address944 N Broadway Ste G04Yonkers, NY 10701-1307
Fax(914) 376-2808
Organization SubpartNo
Authorized OfficialJoseph NshiewatOwner · (914) 376-2800
Enumeration DateSeptember 14, 2020
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1174138382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
944 N BROADWAY STE G04, Yonkers, NY 10701

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Westchester Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Westchester Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1609223429
944 N BROADWAY STE G04
Yonkers, NY 10701
(914) 376-2800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275807190
1 PENN PLZ FL 8
New York, NY 10119
(347) 491-0986
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2229503

Southern Westchester Medical PC · Yonkers, NY
Active · expires Jul 12, 2027
CLIA Number33D2229503
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorJoseph Nshiewat
Laboratory Phone(914) 376-2800
Laboratory LocationSouthern Westchester Medical PC944 North Broadway Suite G04, 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.

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 Medical PC's NPI number?

The NPI number for Southern Westchester Medical PC is 1174138382. It was assigned to this organization in the NPPES registry on September 14, 2020.

Where is Southern Westchester Medical PC located?

Southern Westchester Medical PC is located at 944 N Broadway Ste G04, Yonkers, NY 10701. The listed phone number is (914) 376-2800.

What is Southern Westchester Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Southern Westchester Medical PC enrolled in Medicare?

Yes. Southern Westchester Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Westchester Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Westchester Medical PC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Westchester Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2229503) is associated with this NPI, valid through July 12, 2027. 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 Medical PC was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.