Southern New York Neurosurgical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHERN NEW YORK NEUROSURGICAL GROUP

Practice address

475 Irving Ave
Suite 418
Syracuse, NY 13210-1756

Phone

(315) 475-3999

Fax

(315) 475-4014

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Saeed A Bajwa, M.D.

Title

President

Phone

(607) 729-4942

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Empire State Neurosurgical Institute Other name

Tax ID family

Sny Neurosurgical GRP P3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Southern New York Neurosurgical Group

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Vestal, NY
  • NPI 1568571834
  NPD tax ID
• Southern New York Neurosurgical Group, P.C.

  • Neurological Surgery Physician
  • Syracuse, NY
  • NPI 1528314879
  NPD tax ID

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1285059865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 418",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-475-3999",
            "fax_number": "315-475-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 418",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-475-3999",
            "fax_number": "315-475-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW YORK NEUROSURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "SAEED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-729-4942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01376512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire State Neurosurgical Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clifford B Soults, MD
• Michaela Louise Sous, DO
• Waseem Sous, D.O.
• Shaden Denise Sousou, PH.D.
• Makayla Soutar
• Southern New York Neurosurgical Group, P.C.
• Christopher Michael Souza, FNP
• Rosemary Sovocool, RPH, PHARMD
• Kathryn A. Sowards, PH.D. LMFT
• Rocco Anthony Spada

• Specialist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.