NPIMap

Organization Active NPI

Dent Neurologic Group LLP

Doing business as Dent Neurologic Institute

  • Neurology Physician
  • Amherst, NY
National Provider Identifier
1497850911
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
DENT NEUROLOGIC GROUP LLP
Doing business as
Dent Neurologic Institute
Practice address
3980 Sheridan Dr
Suite 200
Amherst, NY 14226-1727
Phone
(716) 250-2000
NPI assigned
Sep 13, 2006
Last updated
Jun 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Melissa Palmiero
Title
Credentialing Specialist
Phone
(716) 250-6035

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY
Nurse Practitioner 363L00000X NY
Pediatric Nurse Practitioner 363LP0200X NY
Clinical Neuropsychologist 103G00000X NY
Neurology Physician 2084N0400X NY Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NY
Psychiatry Physician 2084P0800X NY
Neuroradiology Physician 2085N0700X NY
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NY

Addresses

Primary practice location

3980 Sheridan Dr
Suite 200
Amherst, NY 14226-1727

Mailing address

3980 Sheridan Dr
Suite B
Amherst, NY 14226-1727
Phone (716) 250-2000

Other identifiers 1

IdentifierTypeStateIssuer
03010331MedicaidNY

Other names 1

  • Dent Neurologic Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000238 NY Part B Supplier - Clinic/Group Practice 1951298033 Receives reassigned benefits from 137 practitioners
Practice locations: Amherst, NY; Batavia, NY; Buffalo, NY; Orchard Park, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

176 Washington Ave
Batavia, NY 14020
Phone (585) 344-3190

3980 Sheridan Dr
Ste 200
Buffalo, NY 14226
Phone (716) 250-2002

40 George Karl Blvd
Williamsville, NY 14221

40 George Karl Blvd
Ste 120
Williamsville, NY 14221

Practitioners & affiliated clinicians

Practitioners 142

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 142

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1497850911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "address_2": "SUITE B",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-2000",
            "fax_number": "716-250-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "address_2": "SUITE 200",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENT NEUROLOGIC GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "PALMIERO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "716-250-6035"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03010331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dent Neurologic Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dent Neurologic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.