Individual provider Active NPI

Judith A Setla, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Liverpool, NY
National Provider Identifier
1730266123
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
166732 Issued in NY
Practice address
990 7TH North St
Liverpool, NY 13088-3148
Phone
(315) 634-1100
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 166732 NY
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 166732 NY Primary

Addresses

Primary practice location

990 7TH North St
Liverpool, NY 13088-3148

Mailing address

990 7TH North St
Liverpool, NY 13088-3148
Phone (315) 634-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130905000072 NY Order and Referring Only - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 7911140223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1730266123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 7TH NORTH ST",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883148",
            "telephone_number": "315-634-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 7TH NORTH ST",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883148",
            "telephone_number": "315-634-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETLA",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166732",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "166732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.