Active NPI
Gulshan Sethi
- Vascular Surgery Physician
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 279308
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 036143994 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular Surgery Physician | 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 452 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036143994 | IL | MD | Vascular Surgery Physician |
| 279308 | NY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Medical Treatment PLLC | Single Specialty | Current | Accepting new patients |
| Medical Services of Manhattan, PLLC | Single Specialty | Current | 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.
-
- Interventional Pain Medicine Physician
- New York, NY
- NPI 1992264469
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1467948943
Single Specialty
-
- Vascular & Interventional Radiology Physician
- Syosset, NY
- NPI 1326095811
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.