Active NPI
The Neurology Clinic, P.C.
- Neurology Physician
- Waldorf, MD
National Provider Identifier
1235231325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D25517
- Legal business name
- THE NEUROLOGY CLINIC, P.C.
- Practice address
- 11350 Pembrooke SQ
Suite 312
Waldorf, MD 20603-4809 - Phone
- (301) 843-0803
- NPI assigned
- Sep 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Baljeet S Sethi, M.D.
- Title
- President
- Phone
- (301) 843-0803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | D25517 | MD | Primary |
Addresses
Primary practice location
11350 Pembrooke SQ
Suite 312
Waldorf, MD 20603-4809
Mailing address
11350 Pembrooke SQ
Suite 312
Waldorf, MD 20603-4809
Phone (301) 843-0803
National Provider Directory
National Provider DirectoryLocations
11350 Pembrooke Sq
Ste 312
Waldorf, MD 20603
Phone (301) 645-2711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Waldorf, MD
- NPI 1649372541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278028800000",
"number": "1235231325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 PEMBROOKE SQ",
"address_2": "SUITE 312",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034809",
"telephone_number": "301-843-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11350 PEMBROOKE SQ",
"address_2": "SUITE 312",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034809",
"telephone_number": "301-843-0803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NEUROLOGY CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2010-07-02",
"status": "A",
"authorized_official_last_name": "SETHI",
"authorized_official_first_name": "BALJEET",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-843-0803",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D25517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- The Physicians Group, Chartered
- The Silberman Dental Group
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.