MEDICARE: NORTHTOWNS NEUROSURGERY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center
2	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1811886690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHTOWNS NEUROSURGERY PLLC

Provider Business Mailing Address
First Line	:	700 MICHIGAN AVE STE 210
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14203-1538
Country	:	US
Telephone Number	:	716-219-5515
Fax Number	:	716-217-6380

Provider Business Practice Location Address
First Line	:	700 MICHIGAN AVE STE 210
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14203-1538
Country	:	US
Telephone Number	:	716-219-5515
Fax Number	:	716-217-6380

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH A SHEHADI
Credential	:	MD
Telephone Number	:	614-565-3958

Provider Enumeration Date	:	06/28/2025
Last Update Date	:	01/19/2026

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