NPIMap

Individual provider Active NPI

Aziz Basem Nicholas Qandah, D.O.

  • Neurological Surgery Physician
  • New Hartford, NY
National Provider Identifier
1528218773
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
272547 Issued in NY
Practice address
83 Genesee St
New Hartford, NY 13413-2472
Phone
(315) 792-7629
Fax
(315) 266-1326
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 272547 NY Primary

Addresses

Primary practice location

83 Genesee St
New Hartford, NY 13413-2472

Mailing address

86 Genesee St
New Hartford, NY 13413-2389
Phone (315) 792-7629

Other identifiers 1

IdentifierTypeStateIssuer
03786041MedicaidNY

Other names 1

  • Nicholas Qandah Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140509000092 NY Practitioner - Neurosurgery 7517098650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central New York Brain and Spine Neurosurgery PLLCGroup PAC ID 9830453513, 11 clinicians

Practice addresses (Care Compare)

83 Genesee St
New Hartford, NY 13413-2472
Phone (315) 792-7629

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
67.04
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion300
Laminectomy or laminotomy (partial removal of spine bones)140
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
272547NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Jul 21, 2015 Accepting new patients
MVHS Inc CurrentSince Jul 21, 2015 Accepting new patients
Central New York Brain & Spine Neurosurgery PLLC Neurological Surgery CurrentSince Feb 1, 2018 Accepting new patients
Community Memorial Hospital Past Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients
Capital Region Physical Therapy, PLLC PastSince Oct 23, 2006 Accepting new patients

Locations

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

7785 N State St
Ste G30
Lowville, NY 13367
Phone (315) 376-5861

86 Genesee St
New Hartford, NY 13413
Phone (315) 732-7909

83 Genesee St
New Hartford, NY 13413
Phone (315) 732-0995

107 E Chestnut St
Ste 105
Rome, NY 13440
Phone (315) 336-8302

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

Interoperability endpoints

  • Direct secure messaging: drqandah@cnybrainandspine.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1528218773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132389",
            "telephone_number": "315-792-7629",
            "fax_number": "315-792-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132472",
            "telephone_number": "315-792-7629",
            "fax_number": "315-266-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QANDAH",
        "first_name": "AZIZ BASEM NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "272547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03786041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "QANDAH",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.