NPIMap

Organization Active NPI

Neurosciences Healthcare Medicine, PC

Doing business as NeuroSciences and Spine Group

  • Neurological Surgery Physician
  • Vestal, NY
National Provider Identifier
1497308548
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSCIENCES HEALTHCARE MEDICINE, PC
Doing business as
NeuroSciences and Spine Group
Practice address
1020 Vestal Pkwy E
Vestal, NY 13850-1748
Phone
(607) 444-6868
NPI assigned
Jul 18, 2019
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Khalid Sethi, MDNPI 1699752048
Title
Ceo
Phone
(607) 444-6868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X

Addresses

Primary practice location

1020 Vestal Pkwy E
Vestal, NY 13850-1748

Mailing address

122 W Main St
Endicott, NY 13760-4772
Phone (607) 759-0619

Other practice location 1

323 Route 5 West
Weedsport, NY 13166
Phone (315) 207-7218

Other practice location 2

545 N River St Ste 130
Wilkes Barre, PA 18702-2600
Phone (570) 706-2620

Other practice location 3

244 W Water St Ste 105
Elmira, NY 14901-2926
Phone (607) 203-8709

Other practice location 4

2352 Route 26
Maine, NY 13760
Phone (607) 862-4325

Other practice location 5

243 Maple Ave
Wellsville, NY 14895-1114
Phone (585) 593-7246

Other names 1

  • NeuroSciences and Spine Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL neurosciencesgroup@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190812000709 NY Part B Supplier - Clinic/Group Practice 5799012993 Receives reassigned benefits from 27 practitioners
Practice locations: Elmira, NY; Endicott, NY; Syracuse, NY; Vestal, NY; Weedsport, NY; Wellsville, NY
O20210412000595 PA Part B Supplier - Clinic/Group Practice 5799012993 Receives reassigned benefits from 4 practitioners
Practice locations: Wilkes Barre, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2234473Neurosciences Healthcare Medicine PC243 Maple Ave, Wellsville, NY 14895Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory

Locations

244 W Water St
Elmira, NY 14901
Phone (607) 737-5215

244 W Water St
Ste 105
Elmira, NY 14901
Phone (607) 203-8709

122 W Main St
Endicott, NY 13760
Phone (607) 237-4724

719 Harrison St
Rm 262
Syracuse, NY 13210
Phone (315) 207-7219

719 Harrison St
Ste 262
Syracuse, NY 13210

243 Maple Ave
Wellsville, NY 14895
Phone (585) 593-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEFCD

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1497308548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604772",
            "telephone_number": "607-759-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501748",
            "telephone_number": "607-444-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Route 5 West",
            "address_purpose": "LOCATION",
            "city": "Weedsport",
            "state": "NY",
            "postal_code": "13166",
            "country_code": "US",
            "telephone_number": "315-207-7218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 N River St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187022600",
            "country_code": "US",
            "telephone_number": "570-706-2620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "244 W Water St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149012926",
            "country_code": "US",
            "telephone_number": "607-203-8709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2352 Route 26",
            "address_purpose": "LOCATION",
            "city": "Maine",
            "state": "NY",
            "postal_code": "13760",
            "country_code": "US",
            "telephone_number": "607-862-4325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Wellsville",
            "state": "NY",
            "postal_code": "148951114",
            "country_code": "US",
            "telephone_number": "585-593-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROSCIENCES HEALTHCARE MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "SETHI",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-444-6868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "neurosciencesgroup@gmail.com",
            "affiliation": "N",
            "address_1": "122 W Main St",
            "city": "Endicott",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137604772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NeuroSciences and Spine Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NeuroSciences and Spine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.