ADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC
NPI 1124102603
Specialist in Staten Island, NY

Q: What is Advanced Spine Care And Pain Management Of New York PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 24, 2006

565 JEWETT AVE, STATEN ISLAND, NY 10302(718) 701-6010(718) 447-7831 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Advanced Spine Care And Pain Management Of New York Pc NPPES

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

ADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC (NPI 1124102603) is a healthcare organization registered as a specialist in Staten Island, New York and active in the NPI registry since October 2006. The organization lists Shailesh S Pathare, Owner, as its authorized official.

NPPES Registry Identity

NPI1124102603

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC

Location Address565 JEWETT AVEStaten Island, NY 10302-2654

Mailing Address565 Jewett AveStaten Island, NY 10302-2654 · (718) 701-6010 · Fax (718) 447-7831

Phone(718) 701-6010

Fax(718) 447-7831

Organization SubpartNo

Authorized OfficialShailesh S PathareOwner · (718) 818-4892

Enumeration DateOctober 24, 2006

Last NPPES UpdateApril 28, 2021

NPPES CertifiedApril 28, 2021

✔ NPI 1124102603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

565 JEWETT AVE, Staten Island, NY 10302

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Other Identifiers 9

Other0012J1NY · Empire Bc Bs

Other355618300NY · Us Dept Of Labor

OtherDA0552NY · Railroad Medicare

Other4C4399NY · Phs/healthnet

Medicaid02006962NY

Other173446NY · Elderplan

Other205677NY · Hip

Other8799893NY · Ghi

OtherP1883750NY · Oxford

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Spine Care And Pain Management Of New York Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Spine Care And Pain Management Of New York PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shailesh Pathare, M.D.

Physical Medicine and Rehabilitation

NPI 1487738829

565 JEWETT AVE
Staten Island, NY 10302

(718) 701-6010

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Spine Care And Pain Management Of New York PC's NPI number?

The NPI number for Advanced Spine Care And Pain Management Of New York PC is 1124102603. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Advanced Spine Care And Pain Management Of New York PC located?

Advanced Spine Care And Pain Management Of New York PC is located at 565 Jewett Ave, Staten Island, NY 10302. The listed phone number is (718) 701-6010.

What is Advanced Spine Care And Pain Management Of New York PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Advanced Spine Care And Pain Management Of New York PC enrolled in Medicare?

Yes. Advanced Spine Care And Pain Management Of New York PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Spine Care And Pain Management Of New York PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Advanced Spine Care And Pain Management Of New York PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Spine Care And Pain Management Of New York PC was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.