Organization Active NPI

The Neurology Clinic, P.C.

  • Neurology Physician
  • Waldorf, MD
National Provider Identifier
1235231325
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D25517 Issued in MD
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

Updated by the provider on Jul 2, 2010

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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": []
}

Other providers in Waldorf, MD

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.

Verify at the official NPI Registry.