Southern New York Neurosurgical Group, P.C.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C.

Doing business as

Empire State Neurosurgical Group

Practice address

1000 E Genesee St
Suite 602
Syracuse, NY 13210-1892

Phone

(315) 475-3999

Fax

(315) 475-4014

NPI assigned

Jul 24, 2012

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, MD

Title

Owner

Phone

(607) 729-4942

Specialties & licenses 1

Addresses

Other names 1

• Empire State Neurosurgical Group Doing business as

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

  • Specialist
  • Syracuse, NY
  • NPI 1285059865
  NPD tax ID
• Southern New York Neurosurgical Group

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Vestal, NY
  • NPI 1568571834
  NPD tax ID

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1528314879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HARRISON ST",
            "address_2": "P.O. BOX 910",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902120",
            "telephone_number": "607-729-4942",
            "fax_number": "607-729-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "SUITE 602",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892",
            "telephone_number": "315-475-3999",
            "fax_number": "315-475-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "SAEED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-729-4942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire State Neurosurgical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Louise Sous, DO
• Waseem Sous, D.O.
• Shaden Denise Sousou, PH.D.
• Makayla Soutar
• Southern New York Neurosurgical Group
• Christopher Michael Souza, FNP
• Rosemary Sovocool, RPH, PHARMD
• Kathryn A. Sowards, PH.D. LMFT
• Rocco Anthony Spada
• Destiny M. Spaights, PA-C

• Neurological Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.