SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C. (NPI# 1528314879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528314879 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C. |
| Other Organization Name | EMPIRE STATE NEUROSURGICAL GROUP |
| Practice Address |
1000 E Genesee St Suite 602 Syracuse NY 13210-1892 |
| Mailing Address |
46 Harrison St P.o. Box 910 Johnson City NY 13790-2120 |
| Practice Telephone | 3154753999 |
| Practice Fax Number | 3154754014 |
| Mailing Telephone | 6077294942 |
| Mailing Fax Number | 6077297516 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | DR. SAEED A BAJWA (OWNER) |
| Authorized Official Telephone | 6077294942 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Empire State Neurosurgical Group | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C. | 46 Harrison Street, Johnson City, Ny 13790 |
| Street Address |
1000 E GENESEE ST SUITE 602 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672230 | Robert D Kirk | Physician Assistant | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2005-07-08 |
| 1396284733 | Sarah Benton | Nurse Practitioner | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2017-02-17 |
| 1366877540 | Lana Catherine Gagne | Nurse Practitioner | 1000 E Genesee St, Ste 500, Syracuse, NY 13210-1885 | 2013-09-06 |
| 1821347683 | Jarmel Physical Therapy, Pllc | Clinic/Center | 1000 E Genesee St, Hill Medical Center Suite# 202, Syracuse, NY 13210-1892 | 2012-09-06 |
| 1366799033 | Upstate Gastroenterology, LLC | Clinic/Center | 1000 E Genesee St, Suite 206, Syracuse, NY 13210-1892 | 2012-08-13 |
| 1467713149 | David J Davin Md Pllc | Internal Medicine | 1000 E Genesee St, Suite 204, Syracuse, NY 13210-1892 | 2012-05-30 |
| 1386942092 | Associated Healthcare Systems Inc | Durable Medical Equipment & Medical Supplies | 1000 E Genesee St, Ste 300, Syracuse, NY 13210-1853 | 2011-03-03 |
| 1982902730 | Associated Healthcare Systems Inc | Durable Medical Equipment & Medical Supplies | 1000 E Genesee St, Ste 402, Syracuse, NY 13210-1853 | 2011-03-03 |
| 1629374210 | Jamie Lynn Nelson | Physician Assistant | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2011-01-31 |
| 1770885469 | Susan Jarmel | Physical Therapist | 1000 E Genesee St, Hill Medical Center Suite 202, Syracuse, NY 13210-1892 | 2010-12-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858572 | Clifford B Soults | Neurological Surgery | 739 Irving Ave Ste 600, Syracuse, NY 13210-1663 | 2005-08-16 |
| 1124029210 | David Y Eng | Neurological Surgery | 101 Union Ave, Suite 608, Syracuse, NY 13203-2761 | 2005-08-10 |
| 1396182994 | Timothy Michael Beutler | Neurological Surgery | 750 E Adams St, Syracuse, NY 13210-2306 | 2013-05-23 |
| 1386080158 | Ali Hazama | Neurological Surgery | 750 E Adams St, Syracuse, NY 13210-2342 | 2013-05-20 |
| 1477861631 | Raghu Ramaswamy | Neurological Surgery | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2010-09-21 |
| 1144469966 | Zulma Sarah Tovar Spinoza | Neurological Surgery | 725 Irving Ave, Ste. 503, Syracuse, NY 13210-1603 | 2009-02-18 |
| 1609026137 | David James Padalino | Neurological Surgery | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2008-09-20 |
| 1770746513 | Scott Gingold Md | Neurological Surgery | 739 Irving Ave, Ste 660, Syracuse, NY 13210 | 2008-07-02 |
| 1184797383 | Jeffrey A. Winfield, M.d.,ph.d.,pc | Neurological Surgery | 1000 E Genesee St, Suite 602, Syracuse, NY 13210-1892 | 2006-11-16 |
| 1215006374 | Scott Ira Gingold | Neurological Surgery | 739 Irving Avenue, Suite 660, Syracuse, NY 13210 | 2006-11-06 |
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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.