WESTSIDE NEW YORK MEDICAL, PC
NPI 1750766762
Obstetrics & Gynecology - Gynecology in Mount Vernon, NY

Q: What is Westside New York Medical, PC's NPI number?

The NPI number for Westside New York Medical, PC is 1750766762. It was assigned to this organization in the NPPES registry on July 21, 2015.

Q: What is Westside New York Medical, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Active since July 21, 2015CLIA 33D2329890 · Waiver

105 STEVENS AVE, SUITE 209, MOUNT VERNON, NY 10550(914) 699-7700(914) 699-7701 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Westside New York Medical, Pc NPPES

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

WESTSIDE NEW YORK MEDICAL, PC (NPI 1750766762) is a healthcare organization registered as a gynecology in Mount Vernon, New York and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Nonyelu Iruoma Anyichie, Owner / Md, as its authorized official.

NPPES Registry Identity

NPI1750766762

Entity TypeOrganization

Primary Taxonomy207VG0400X

Legal Business NameWESTSIDE NEW YORK MEDICAL, PC

Location Address105 STEVENS AVE, SUITE 209Mount Vernon, NY 10550-2686

Mailing Address40 Woodland RdPleasantville, NY 10570-1322 · (914) 699-7700 · Fax (914) 699-7701

Phone(914) 699-7700

Fax(914) 699-7701

Organization SubpartNo

Authorized OfficialNonyelu Iruoma AnyichieOwner / Md · (914) 699-7700

Enumeration DateJuly 21, 2015

✔ NPI 1750766762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

105 STEVENS AVE, Mount Vernon, NY 10550

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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 33D2329890

Westside New York Medical, PC · Mount Vernon, NY

Active · expires Sep 7, 2027

CLIA Number33D2329890

Laboratory TypePhysician Office

Certificate Effective DateSeptember 8, 2025

Certificate Expiration DateSeptember 7, 2027

Laboratory DirectorDr. Iruoma Anyichie Nonyelu

Laboratory Phone(914) 699-7700

Laboratory LocationWestside New York Medical, PC105 Stevens Ave, Ste 209, Mount Vernon, NY 10550

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 20

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

WESTCHESTER WOMEN'S MEDICAL HEALTHCARE P.L.L.C.

Obstetrics & Gynecology

105 STEVENS AVE, SUITE 505
MOUNT VERNON, NY 10550

Westchester County (914) 665-2229

OBIANULO ROSE ONYEMA MD

Pediatrics

105 STEVENS AVE, SUITE 207
MT VERNON, NY 10550

Westchester County (914) 665-3309

MARVIN GILL DR.

Pharmacist

105 STEVENS AVE
MOUNT VERNON, NY 10550

Westchester County (914) 416-6777

DR. SANFORD SHAEV D.D.S.

Dentist (General Practice)

105 STEVENS AVE, 606
MT VERNON, NY 10550

Westchester County (914) 699-6191

CAROLYN MOHEDANO-CRANER O.D.

Optometrist

105 STEVENS AVE, SUITE 203
MOUNT VERNON, NY 10550

Westchester County (914) 668-7442

PRATIK SHAH

Pharmacist

105 STEVENS AVE
MOUNT VERNON, NY 10550

Westchester County (914) 664-0300

DR. DEBORAH SOPHIA HUNTER-BROWN M.D

Family Medicine

105 STEVENS AVE, SUITE 408
MOUNT VERNON, NY 10550

Westchester County (914) 663-1368

DR. GARREN CRANER O.D.

Optometrist

105 STEVENS AVE, SUITE #203
MOUNT VERNON, NY 10550

Westchester County (914) 668-7442

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 Westside New York Medical, PC's NPI number?

The NPI number for Westside New York Medical, PC is 1750766762. It was assigned to this organization in the NPPES registry on July 21, 2015.

Where is Westside New York Medical, PC located?

Westside New York Medical, PC is located at 105 Stevens Ave Suite 209, Mount Vernon, NY 10550. The listed phone number is (914) 699-7700.

What is Westside New York Medical, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Westside New York Medical, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2329890) is associated with this NPI, valid through September 7, 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 Westside New York Medical, PC was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.