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SPINE AND PAIN CONSULTANT, PLLC
NPI 1003381146
Anesthesiology - Pain Medicine in New Hyde Park, NY

Active since October 04, 2018CLIA 33D2111597 · Waiver
1 HOLLOW LN STE 102, NEW HYDE PARK, NY 11042(516) 587-5500 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2023, Jan 5, 2023, Oct 4, 2018 (3 updates tracked since 2018).

About Spine And Pain Consultant, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE AND PAIN CONSULTANT, PLLC (NPI 1003381146) is a healthcare organization registered as a pain medicine in New Hyde Park, New York and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Kenneth B Chapman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003381146
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSPINE AND PAIN CONSULTANT, PLLC
Location Address1 HOLLOW LN STE 102New Hyde Park, NY 11042-1219
Mailing Address1360 Hylan BlvdStaten Island, NY 10305-1922 · (718) 667-3577
Phone(516) 587-5500
Organization SubpartYes
Authorized OfficialKenneth B ChapmanMedical Director · (718) 667-3577
Enumeration DateOctober 4, 2018
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1003381146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
1 HOLLOW LN STE 102, New Hyde Park, NY 11042
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2111597

Spine And Pain Consultant, PLLC · Staten Island, NY
Active · expires Apr 10, 2028
CLIA Number33D2111597
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorDr. Kenneth B. Chapman
Laboratory Phone(718) 351-7150
Laboratory LocationSpine And Pain Consultant, PLLC1360 Hylan Boulevard, Staten Island, NY 10305
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2081768

Spine And Pain Consultant, PLLC · New Hyde Park, NY
Expired · Jul 29, 2026
CLIA Number33D2081768
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorDr. Barthelemy Liabaud
Laboratory Phone(516) 587-5500
Laboratory LocationSpine And Pain Consultant, PLLC1 Hollow Lane, Suite 102, New Hyde Park, NY 11042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY JOHN
Nurse Practitioner (Acute Care)
1 HOLLOW LN STE 102
NEW HYDE PARK, NY 11042
Nassau County (516) 502-1897

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine And Pain Consultant, PLLC's NPI number?

The NPI number for Spine And Pain Consultant, PLLC is 1003381146. It was assigned to this organization in the NPPES registry on October 4, 2018.

Where is Spine And Pain Consultant, PLLC located?

Spine And Pain Consultant, PLLC is located at 1 Hollow Ln Ste 102, New Hyde Park, NY 11042. The listed phone number is (516) 587-5500.

What is Spine And Pain Consultant, PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Spine And Pain Consultant, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2111597) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spine And Pain Consultant, PLLC was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.