Individual provider Active NPI

Gulshan Sethi

  • Vascular Surgery Physician
  • Bay Shore, NY
National Provider Identifier
1962791285
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
279308 Issued in NY
Practice address
85 E Main St
Bay Shore, NY 11706-8338
Phone
(515) 606-7811
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036143994 IL
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 279308 NY Primary

Addresses

Primary practice location

85 E Main St
Bay Shore, NY 11706-8338

Mailing address

5 Wagamon Dr
Woodbury, NY 11797-1007
Phone (917) 574-1243

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
I20180709002993 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 2264705276 Reassigns benefits to 2 organizations
Practice locations: Bay Shore, NY; Syosset, NY; Springfield Gardens, NY

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Manhattan PLLCGroup PAC ID 2567735152, 13 clinicians
Shore Medical Treatment PLLCGroup PAC ID 7810389715, 6 clinicians

Practice addresses (Care Compare)

290 Madison Ave
FL 2
New York, NY 10017-6375
Phone (212) 518-4562

500 Montauk Hwy
Suite G
West Islip, NY 11795-4419
Phone (212) 518-7874

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036143994ILMDVascular Surgery Physician
279308NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Medical Treatment PLLC Single Specialty CurrentSince May 2, 2024 Accepting new patients
Medical Services of Manhattan, PLLC Single Specialty CurrentSince Jun 28, 2024 Accepting new patients
Pain Doctors of America PLLC Single Specialty Past Accepting new patients
MVC PA PLLC Single Specialty Past Accepting new patients
Sen Medical Care PC Single Specialty Past Accepting new patients
Mni Medical Services, PLLC Single Specialty Past Accepting new patients
Syed Tamkin Ahmad MD PC Single Specialty Past Accepting new patients
Vasctech, Inc. Single Specialty Past Accepting new patients

Locations

2100 Bartow Ave
Ste 400
Bronx, NY 10475
Phone (212) 518-4563

188 Montague St
Fl 10
Brooklyn, NY 11201
Phone (631) 450-3772

10730 71st Rd
#204
Forest Hills, NY 11375
Phone (631) 450-3772

280 N Central Ave
Ste 450
Hartsdale, NY 10530
Phone (212) 518-4562

350 Jericho Tpke
Ste 310
Jericho, NY 11753
Phone (212) 470-6676

350 Jericho Tpke
Ste 1A
Jericho, NY 11753
Phone (212) 518-4562

156 William St
Rm 302
New York, NY 10038
Phone (212) 518-4562

290 Madison Ave
Fl 2
New York, NY 10017
Phone (212) 518-4562

244 Madison Ave
#1120
New York, NY 10016
Phone (301) 523-8458

70 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 331-0200

500 Montauk Hwy
Ste G
West Islip, NY 11795
Phone (212) 518-4562

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1962791285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WAGAMON DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971007",
            "telephone_number": "917-574-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068338",
            "telephone_number": "515-606-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "GULSHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036143994",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "279308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.