DENT NEUROLOGIC GROUP, LLP (NPI# 1154647642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154647642 |
| Entity Type | Organization |
| Organization Name | DENT NEUROLOGIC GROUP, LLP |
| Other Organization Name | DENT NEUROLOGIC INSTITUTE |
| Practice Address |
7060 Erie Rd Derby NY 14047-9430 |
| Mailing Address |
3980 Sheridan Dr Suite B Amherst NY 14226-1727 |
| Practice Telephone | 7162502000 |
| Mailing Telephone | 7162502000 |
| Mailing Fax Number | 7162502040 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |
| Authorized Official Name | MARY BETH SABA (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 7165585668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03010331 | 05 |
| Other Name | Type Code |
|---|---|
| Dent Neurologic Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134771009 | Dent Neurologic Group, LLP | Physical Medicine & Rehabilitation | 40 George Karl Blvd, Buffalo, NY 14221-7183 | 2019-07-11 |
| 1770790016 | Dent Neurologic Group, LLP | Clinic/Center | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2007-05-17 |
| 1841407186 | Dent Neurologic Group, LLP | Clinic/Center | 200 Sterling Dr, Orchard Park, NY 14127-1558 | 2007-05-17 |
| 1740319896 | Dent Neurologic Group, LLP | Clinic/Center | 3980 Sheridan Dr, 1st Floor, Amherst, NY 14226-1727 | 2007-03-05 |
| 1467581520 | Dent Neurologic Group, LLP | Psychiatry & Neurology | 200 Sterling Dr, Orchard Park, NY 14127-1558 | 2007-03-05 |
| 1982754628 | Dent Neurologic Group, LLP | Clinic/Center | 3980 Sheridan Dr, 1st Floor, Amherst, NY 14226-1727 | 2007-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DENT NEUROLOGIC GROUP, LLP | 3980 Sheridan Drive, Attn: Legal Department, Amherst, Ny 14226 |
| Street Address |
7060 ERIE RD |
| City | DERBY |
| State | NY |
| Zip Code | 14047-9430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799656 | Tariq A Sheikh | Family Medicine | 7060 Erie Rd, Suite 100, Derby, NY 14047-9430 | 2005-06-09 |
| 1962000307 | Miranda Braner | Nurse Practitioner | 7060 Erie Rd, Derby, NY 14047-9430 | 2020-10-16 |
| 1508305673 | Ashley Skipper | Physician Assistant | 7060 Erie Rd, Derby, NY 14047-9430 | 2017-02-22 |
| 1831589787 | Jennifer Hahn | Physical Therapist | 7060 Erie Rd, Derby, NY 14047-9430 | 2015-01-30 |
| 1558750679 | Jennifer Foley | Massage Therapist | 7060 Erie Rd, Derby, NY 14047-9430 | 2015-01-13 |
| 1801211826 | Lakeshore Family Medicine Associates PC | Non-Pharmacy Dispensing Site | 7060 Erie Rd, Suite 100, Derby, NY 14047-9430 | 2014-02-27 |
| 1518389238 | Eric Dibben | Physician Assistant | 7060 Erie Rd, Derby, NY 14047-9430 | 2014-01-15 |
| 1407129109 | Angel M Szkutak | Physician Assistant | 7060 Erie Rd, Derby, NY 14047-9430 | 2012-02-12 |
| 1568768604 | Dent Neurologic Institute | Clinic/Center | 7060 Erie Rd, Suite 500, Derby, NY 14047-9430 | 2011-02-08 |
| 1770748246 | Donald Jordan Conrad | Chiropractor | 7060 Erie Rd, Suite 300, Derby, NY 14047-9416 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654494 | Brooks - Tlc Hospital System, Inc. | Rehabilitation, Substance Use Disorder Unit | 7020 Erie Road, Derby, NY 14047 | 2020-06-23 |
| 1114219607 | Frederick Eckles Jr. | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-05-03 |
| 1477887560 | Henna M Patel | Family Medicine | 7060 Erie Rd Suite 100, Derby, NY 14047 | 2009-09-23 |
| 1134300668 | Lisa M Bogner | Pharmacist | 3590 Union Rd, Cheektowaga, NY 14047 | 2007-11-27 |
| 1760546378 | James G Stengel | Internal Medicine | 1667 South Creek Rd, Derby, NY 14047 | 2006-12-20 |
| 1093888463 | Paul J Caro Md | Family Medicine | 7008 Erie Rd Rte 5, Suite A, Derby, NY 14047 | 2006-11-15 |
| 1417037755 | John M Mulawka IIi | Pediatrics | 6763 Erie Road Rt 5, Derby, NY 14047 | 2006-10-17 |
| 1720367782 | Michelle M Sirolli | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1770862682 | Janet E Pajak | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1497828461 | Harmonia Collaborative Care Inc | Clinic/Center | 6722 Erie Rd, Derby, NY 14047 | 2006-11-16 |
| Find all providers in zip 14047 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053545616 | Joseph B. Guarnaccia, Md, LLC | Psychiatry & Neurology | 130 Division St, Mstc, C/o Griffin Hospital, Derby, CT 06418-1326 | 2009-05-12 |
| 1235164427 | Joseph Blaise Guarnaccia | Psychiatry & Neurology | 130 Division St, 1st Floor, Derby, CT 06418-1326 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.