Organization Active NPI

Cny Neurological Consulting PLLC

  • Neurology Physician
  • East Syracuse, NY
National Provider Identifier
1235208406
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
195245 Issued in NU
Legal business name
CNY NEUROLOGICAL CONSULTING PLLC
Practice address
5000 Brittonfield Pkwy
A116
East Syracuse, NY 13057
Phone
(315) 634-5550
Fax
(315) 634-5553
NPI assigned
Nov 6, 2006
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Mr. Hassan Shukri, MD
Title
Owner
Phone
(315) 634-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 195245 NU Primary

Addresses

Primary practice location

5000 Brittonfield Pkwy
A116
East Syracuse, NY 13057

Mailing address

5000 Brittonfield Parkway
Suite A116
East Syracuse, NY 13057
Phone (315) 634-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060113000599 NY Part B Supplier - Clinic/Group Practice 9234152422 Receives reassigned benefits from 5 practitioners
Practice locations: East Syracuse, NY; Syracuse, NY

National Provider Directory

National Provider Directory

Locations

2121 Executive Park Dr
Opelika, AL 36801
Phone (334) 705-0544

5000 Brittonfield Pkwy
#A130
East Syracuse, NY 13057

5000 Brittonfield Pkwy
Bldg A
East Syracuse, NY 13057

5000 Brittonfield Pkwy
Ste A116
East Syracuse, NY 13057
Phone (315) 634-5550

5000 Brittonfield Pkwy
Ste A130
East Syracuse, NY 13057
Phone (315) 634-5550

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1235208406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PARKWAY",
            "address_2": "SUITE A116",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-634-5550",
            "fax_number": "315-795-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY",
            "address_2": "A116",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-634-5550",
            "fax_number": "315-634-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY NEUROLOGICAL CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "SHUKRI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-634-5550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": "195245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.