Organization Active NPI

Rochester Brain & Spine Group PLLC

  • Neurological Surgery Physician
  • Rochester, NY
National Provider Identifier
1689049181
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
213927-1 Issued in NY
Legal business name
ROCHESTER BRAIN & SPINE GROUP PLLC
Practice address
400 Red Creek Dr Ste 120
Rochester, NY 14623-4273
Phone
(585) 334-5560
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Seth M Zeidman, M.D.NPI 1902911704
Title
Owner
Phone
(585) 334-5560

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 213927-1 NY Primary

Addresses

Primary practice location

400 Red Creek Dr Ste 120
Rochester, NY 14623-4273

Mailing address

400 Red Creek Dr Ste 120
Rochester, NY 14623-4273
Phone (585) 334-5560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201000713 NY Part B Supplier - Clinic/Group Practice 6507160215 Receives reassigned benefits from 8 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1689049181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234273",
            "telephone_number": "585-334-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234273",
            "telephone_number": "585-334-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER BRAIN & SPINE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "ZEIDMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-334-5560",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "213927-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.